以健康共治实现全民健康管理

To achieve the goal of universal health management through governance for health

健康共治是中共中央及各级政府及其相关部门以整个政府和全社会的方式,引导社会组织、企业和公众,为了健康和福祉而共同采取的行动。本文阐述了健康共治的理论基础以及与党中央"健康中国"重要决策的关系,强调健康共治需要在政府的领导下,构建多元主体共同参与的平台,完善多元主体平等协商的机制,来保障全民健康的共建共享。在此基础上,文章还介绍了全民健康管理的概念,并从广度、深度、高度三个维度说明了实施全民健康管理所需要考虑的实践性问题:广度就是健康管理应该涵盖全体国民和人的一生过程;深度就是健康管理服务的内容应由有资质的服务提供者根据以循证为基础制定的健康管理服务清单,提供不同层次的服务;高度则是为使健康管理服务有效落实,在资金保障机制上所需的费用及政府、企业和个人各方应承担的比例。

Governance for health was defined as the activities taken by central government, local authorities, and pertinent departments, to guide the social organizations, enterprises and public, in the pursuit of health and wellbeing, in an integral approach. This article states the fundamental theories of governance for health, and its relationship to ＂Health China＂. It emphasizes that under the leadership of the government, governance for health should establish a platform for participation and a mechanism for equal consultation and cooperation by multi-stakeholders, in order to ensure all participation and all co- sharing. In addition, the article also introduces the concept of universal health management, and illustrates the practical issues needs to be considered in implementing universal health management, from three dimensions of breadth, depth and height. ＂Breadth＂ means health management should cover all people in the country and the whole life of people. ＂Depth＂ means quality suppliers of health management should provide a list of health management services based on evidence with various packages. ＂Height＂ means in order to achieve the effectiveness of health management services, the budget should be secured and shared among the government, the enterprises and the individuals, with agreed percentage.