初级卫生保健发展回顾与疾控作用的思考

Review of primary health care development and thoughts on role of disease prevention and control

2018年10月25日,世界卫生组织197个成员国在2018年全球初级卫生保健会议上,一致通过了《阿斯塔纳宣言》,誓要加强各自的初级卫生保健系统,为实现全民健康覆盖作出更大努力,该宣言为“初级卫生保健”这一卫生保健系统基础的发展确定新方向;同时,该宣言也是对具有重大历史意义的《阿拉木图宣言》的一次重申。本文旨在通过回顾初级卫生保健的发展历史和现状,分析以“预防为主”对于实现初级卫生保健的重要意义,为“健康危害因素”防控工作提出建议。

The 197 member states of the World Health Organization unanimously adopted the Astana Declaration at the Global Primary Health Care Conference on 25th October 2018,pledging to strengthen their primary health-care systems and make greater efforts to achieve universal health coverage.The Declaration will set a new direction for the development of primary health care,which is the basis of the health care system.Besides,the Declaration is also a reaffirmation of the historic Alma-Ata Declaration.This article aims to review the development history and current situation of primary health care,analyze the importance of the concept of"Put the prevention first"to the realization of primary health care,and put forward suggestions for the prevention and control of health risk factors.