健康扶贫背景下基层卫生治理的路径探究——一个“可行能力”理论视角

Research on the Path of Health Governance in the Context of Poverty Alleviation——A theoretical perspective of “feasible ability”

健康扶贫是扶贫攻坚战的重要内容,也是全面建成小康社会的必然要求。基于阿马蒂亚·森的可行能力理论分析,发现健康贫困的短板在于疾病应对能力和健康保障能力的缺失,进而引发“看不起病”“看不好病”“不方便看病”和存在“易生病”等问题。综合医疗保障制度的可持续性、基本医疗卫生服务的精准度、基层医疗机构网络的可及性以及基本公共卫生服务项目的质量是提升基层卫生治理能力的关键,更是优化健康扶贫政策绩效的必然路径。

Healthy poverty alleviation is an important part of poverty alleviation and an inevitable requirement for building a moderately prosperous society in an all-round way.Based on the analysis of Amartya Sen’s theory of feasible ability,it is found that the short board of health poverty lies in the ability to cope with diseases and the ability to guarantee health,which leads to such problems as“unable to see a doctor”“not good at seeing a doctor”“inconvenient to see a doctor”and“easy to get sick”.The sustainability of the comprehensive medical security system,the accuracy of basic medical and health services,the accessibility of the network of primary medical institutions and the quality of basic public health services are the keys to improve the ability of primary health governance,and also inevitable paths to optimize the performance of health poverty alleviation policies.