健康战略下卫生和社会服务一体化的加拿大经验——以加拿大魁北克省为样本

Canadian Experience in Integrating Health and Social Services under the Health Strategy—Taking Quebec as an Example

随着工业化、城镇化和人口老龄化进程的加速,慢性病成为影响我国经济社会发展的重大公共卫生问题。慢性病的发生和流行与经济、社会、人口、行为、环境等因素密切相关,慢性病的预防、治疗、照护需要卫生和社会服务机构的紧密协作。加拿大魁北克省于20世纪80年代开始探索卫生与社会服务发展,于2005年建立了集预防、治疗、照护为一体的公立医疗机构和社会服务为主导的三级服务体系架构,慢性病防治效果显著。通过对加拿大魁北克省卫生与社会服务一体化供给的架构体系的介绍,提炼卫生与社会服务一体化成因,为我国健康战略下卫生与社会服务一体化提供借鉴。

With the acceleration of industrialization,urbanization and population aging,the chronic diseases have become a major public health problem affecting China’s economic and social development.The occurrence and prevalence of chronic diseases are closely related to the economic,social,demographic,behavioral and environmental factors.The prevention,treatment and care of chronic diseases require close collaboration between the health and social services.Quebec,a province in Canada,began to explore the development of health and social services in the 1980s.In 2005,it had established a three-level service system integratingthe prevention,treatment and care,which is dominated by the public medical institutions and social services,and the effect of prevention and treatment of chronic diseases is remarkable.By introducing the structure and system of the integration of health and social services in Quebec,the causes of the integration of health and social services are refined,providing references for the integration of health and social services under China’s health strategy.