婚前保健服务的发展模式与研究进展综述

Review on the development pattern and research progress of premarital care services

我国婚前保健自20世纪80年代实施以来,在预防疾病、减少传染病的蔓延、维护婚姻生活和谐等方面发挥重要的作用。新形势下,免费依法婚检模式能较好解决免费自愿婚检模式中需方的参与问题。在此模式下,婚前保健服务质量成为研究重点。面对医改新环境,婚前保健作为一项准公共产品,具有很强的公益性和正外部性,我们应重新审视其公共卫生的内涵。因此,我们还应扩展研究视角,将婚前保健与叶酸增补、孕前检查、早孕建卡、产前筛查、产前诊断等内容相结合进行深入研究,以期充分发挥婚前保健服务的社会效益和经济效益。

Since the 1980s,premarital health care as primary prevention measures to reduce birth defects and improve the quality of newborns,it has played an important role in preventing diseases,reducing the spread of infectious diseases,maintaining the marriage harmonious and happy and so on.Under the current new situation,the pattern of free and mandatory premarital care services can solve the problem which consumer participate in the pattern of free and voluntary premarital care services.In this pattern,we should pay more attention to study the service quality of premarital care.Under the requirement of new health care reform,premarital care is treated as quasi-public goods which have strong public welfare and positive externalities.So we should re-examine its meaning in terms of public health.In order to full display the social and economic benefits of premarital care,we should also further expand research perspective and integrate premarital care,supplement folic acid,progestational examination,making cards in early pregnancy,prenatal screening,and prenatal diagnosis into one framework.This would help to promote the social and economic benefit of premarital healthcare.