新形势下中国公共卫生医师职能定位探析

Professional role of public health physicians in China under the new situation: a brief discussion

新形势对现有公共卫生医师职能提出了更高的要求和新的挑战,但公共卫生医师职能存在政策设计不明晰、人员实际作用有限、难以满足多元健康需求等问题。新形势下的公共卫生医师涉及疾病预防、健康维护、健康促进三大基本职能,具体包括疾病预防控制、健康促进、健康影响因素监测、全科公共卫生、预防医学科公共卫生五类,其应做到推动医防结合、提高技术应用能力、倡导关口前移、参与全球健康治理,并做到提供连续的、覆盖全生命周期的公共卫生服务。

The new situation in social development places higher demands and new challenges upon professional roles for public health physicians currently in China. But multiple public health demands on professional roles of the physicians could not be met due to unclear related policy designs and limited professional practices of the physicians. Under the new situation,public health physicians are basically involved in disease prevention, health maintenance, and health promotion, specifically engaged in five major practices including disease prevention and control, health promotion, surveillance on health impact factors, general public health, and preventive medicine. Public health physicians should make efforts in promoting the integration of clinical and preventive medicine, improving professional capability of modern technology application, and providing public health services in various populations.