从国家治理视角看实施健康中国战略

Understanding the Healthy China Strategy from Governance Perspective

实施健康中国战略是国家治理的重要组成部分,这不是一系列健康领域规则的简单组合,而是由多个组织与多种规则集合而成的有内在联系、有层次、有结构的治理体系,包括政策体系、参与主体、制度体系以及保障手段等部分。其中,政策体系包括了卫生系统政策、健康促进政策及体现健康的社会经济政策;参与主体涵盖了政府、市场与公众;制度体系包含了推动健康综合治理的行政管理制度、维护健康的有效市场制度以及促进健康的社会动员和参与制度。保障手段有法律保障、人才保障、财政保障以及技术保障等。鉴于实施健康中国战略的复杂性,文章建议利用地方试点的优势,进一步探索出一条可行路径。

＂Healthy China＂ is an important component of Chinese governance system. It is not a simple combination of piece- meal health policies, but a system where multiple organizations and policies perform coordinately and well-functionally. Its key compo. nents include health policy system, major participants, institutional arrangement and supporting measures. Medical policies, health promotion policies and social policies that influence population health are three subsystems of health policy system. Government, markel （enterprise） and individuals are major participants of building a healthy China. An administrative system that protects health, well-functioned market economy that promotes health, and a system of social mobilization that encourages individuals to improw health are all essential for ＂Healthy China＂. Accordingly, progress in legislation, financing, human resources and technology shouh： be in place. Considering its complexity; it suggests that China should take advantage of policy experimentation to find out a feasibk way to achieve the goals of ＂Healthy China＂.