疾病预防控制系统改革与公共卫生医师制度改革比较研究

Reform of disease prevention and control system and public health physician system in China: a comparative study

随着医药卫生体制改革的不断深入推进,在健康中国战略实施的大背景下,疾病预防控制体系和公共卫生医师制度改革也被提上议事日程。本研究拟对疾病预防控制体系和公共卫生医师制度改革的成因和改革逻辑进行分析,以期从学理角度厘清二者改革的脉络和逻辑。疾病预防控制体系改革着眼于其与公共卫生体系、国家卫生健康行政机构的关系与分工,关注该机构如何与各级各类政府行政机构更加协调高效解决社会主要健康问题;公共卫生医师制度改革不仅关注其在疾病预防控制体系内人员流失严重的问题,更关注其自身医师队伍在整个健康事业中的定位和人员稳定。

Both reforms of the disease prevention and control system and the public health physician system have also been put on the agenda with the implementation of the Healthy China Strategy and continuous innovation of the medical and health system in China. This study intends to analyze the causation and the logicality of the reforms of the two systems from academic and theoretical perspective. The disease prevention and control system reform focuses on the relationship and division of responsibilities between medical institutions and national health administration and on the coordination of medical institutions and government administrative agencies at various levels to solve major health problems in China. While,professional personnel’s responsibility assignment and stability are main tasks for the reform of public health physician system.