我国疾病预防控制功能评价及机理建模研究

发布时间：2018-02-06 07:02

本文关键词： 公共卫生疾病预防控制机构评价模型　出处：《第二军医大学》2006年硕士论文　论文类型：学位论文

【摘要】：早在1996年,政府卫生工作文件中就指出:“各级政府对公共卫生和预防保健工作要全面负责,加强预防保健机构的建设,给予必要的投入,对重大疾病的预防和控制工作要保证必需的资金。”公共卫生系统是以实现公共卫生服务功能和提高公共卫生资源效益为目的,旨在保障公众健康和疾病预防的活动。作为我国公共卫生服务系统的重要组成部分的疾病预防控制机构更是承担着疾病预防监测的主要功能。但是由于长期“重医轻防"思想的影响以及还沿用传统的政府直接投资的公共卫生服务提供模式,这些都影响了疾病预防控制机构应有功能的发挥。特别是到2003年,SARS疫情危机更是带给我们深痛的经验和教训。当前,加快公共卫生体系建设,特别是疾病预防控制机构建设已成了各级政府关注的热点;目前我国的疾病预防控制机构主要包括省市区的各级疾病预防控制中心(CDC)和经改组后的卫生防疫站。由于我国的CDC成立时间不长,对其定位不准及功能不强等问题严重,最主要的是国家对其投入不足,所以导致我国疾病预防控制机构的功能发挥不足。因此进行我国疾病预防控制机构功能及发展政策性研究是当务之急,是加快我国公共卫生体系建设的基础工作之一。本研究对我国目前社区卫生服务的现状进行全方位的研究,总结各地社区卫生服务发展的现状和可持续发展因素,构建社区卫生服务评价指标体系,探索阻滞社区卫生服务发展的瓶颈问题,提出深层次发展社区卫生服务的政策性建议。本研究从社会整体出发,站在整个卫生服务系统的高度,依据复杂系统理论、微观经济学及预防医学原理,以卫生系统宏观模型作为系统指导思想,运用各种研究方法和分析技术,针对我国的国情,来定性和定量的讨论我国疾病预防控制机构功能问题的根源、严重程度和作用机制,并研究解决方案,从而为政府部门提供必要的政策建议。研究方法是在大量文献回顾和专家访谈的基础上对我国疾病预防控制机构的现况进行分析,以卫生系统宏观模型为指导思想,采用
[Abstract]:As early as 1996, the government health working paper pointed out: "all levels of government should be fully responsible for public health and preventive health care, strengthen the construction of preventive health care institutions, and give the necessary input." The prevention and control of major diseases should ensure the necessary funds... "the public health system aims to achieve the function of public health services and improve the efficiency of public health resources." Activities aimed at safeguarding public health and disease prevention. As an important part of our public health service system, the disease prevention and control agency is particularly responsible for the main functions of disease prevention and surveillance. The influence of the thought of emphasizing medical care and neglecting prevention and the traditional mode of public health service delivery which is directly invested by the government. All of these have affected the function of disease prevention and control organizations. Especially, the SARS epidemic crisis in 2003 brought us painful experience and lessons. At present, we should speed up the construction of public health system. In particular, the construction of disease prevention and control institutions has become the focus of attention at all levels of government; At present, the disease prevention and control institutions in China mainly include the centers of disease prevention and control at all levels in provinces, municipalities and cities, and the health prevention and control stations after being reorganized. The establishment of CDC in our country is not long. The problems of inaccurate positioning and weak function are serious, and the main problem is that the state has not invested enough in it. So it is urgent to study the function of disease prevention and control organization and development policy in our country. It is one of the basic work of speeding up the construction of public health system in China. This study carries on the omni-directional research to the present situation of the community health service in our country, summarizes the present situation of the community health service development and the sustainable development factor, constructs the evaluation index system of the community health service. This paper explores the bottleneck problems that block the development of community health service, and puts forward some policy suggestions for the deep development of community health service. Based on the theory of complex system, microeconomics and preventive medicine, the macro model of health system is taken as the guiding ideology of the whole health service system. Using various research methods and analytical techniques, according to the situation of our country, to qualitatively and quantitatively discuss the root, severity and mechanism of the function of disease prevention and control institutions in China, and study the solutions. In order to provide necessary policy advice for government departments. The research method is to analyze the current situation of disease prevention and control institutions in China on the basis of a large number of literature reviews and expert interviews, taking the macro model of health system as the guiding ideology and adopting the
【学位授予单位】：第二军医大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R18

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