主动健康视野下疾控体系建设转型的思考

Transorming the Disease Control System in View of Active Health

新型冠状病毒肺炎疫情(简称"新冠肺炎疫情")引发对我国疾控体系建设的诸多思考,本文从健康风险特征出发,指出健康风险的前瞻治理要求疾控体系提高预警能力、防疫关口下沉并提高全球健康风险监测与回应等,讨论以人为中心的整合协同健康服务体系对于疫情防控和全面健康的价值,强调应强化主动健康激励机制,提出优化国家、省市、县疾控体系的结构调整建议以及强化医疗机构和基层网底公共卫生能力的具体措施。

The outbreak of coronavirus disease(COVID-19) stimulated discussions about reforms of the disease control system(DCS) in China. Based on the characteristics of health risks, this paper pointed out that proactive management of health risks requires the DCS to improve its early-warning ability for better epidemic prevention and to improve the global surveillance system of risk factors and its response abilities. This paper discussed the value of people-centered integrated collaborative health service system(ICHSS) to epidemic prevention and control and overall health. This paper emphasized that the government should strengthen incentive mechanism, optimize the structure of the DCS at the national, provincial, municipal and county levels and take concrete measures to enhance the capacity of health institutions and public health at the community level.