论卫生保健发展的大趋势

General Trends of the Development of Health Service

作者从系统科学角度出发,提出卫生保健工作是一项社会保健系统工程,是生命科学、社会科学、技术科学多门类学科的综合。作者以医学模式的转变为前提,又以高层建筑之势预测了医学模式转变的几大趋势: 一、预防医学是医学发展的主要方向, 二、卫生服务由相对集中型向相对分散型发展; 三、卫生劳务生产的商品化趋势; 四、开放、联合、协作是社会化大卫生产业发展的必然趋势; 五、发展初级保健是人类文明社会进步要求的必然趋势。

From a point of view of system science,the author considers that health service is a system cngineering of social healtheare,and a multidisciplinary synthesis of life sciences,social sciences and technological sciences.The author discusses general trends of the development of health service as follows:(1)preventive medicine as the main orientation of medical development;(2)health services developing from relative centralization to relative decentralization;(3)commercialization of health services;(4)opening,consortia,and cooperation are an inexorable trend of the develop- merit of socialized health service industry;and(5)the development of primary healtheare is necessary to the progress of civilization and society.