我国基本公共卫生服务标准化现状分析暨均等化的标准化策略初探

Current status of standardization of basic public health services and standardization strategy of service equalization in China

通过对基本公共卫生服务工作标准现状与基本公共卫生服务均等化项目和首批国家基本公共服务标准化试点项目的系统分析,了解我国基本公共卫生服务标准化的现状,探讨提出实现基本公共卫生服务均等化的标准化策略建议。收集国家基本公共卫生服务上述3个方面的内容,并将公共卫生标准与《国家基本公共卫生服务规范(第三版)》所包含的14项规范和《关于开展国家基本公共服务标准化试点工作的通知》中所包含的51项国家基本公共服务标准化试点项目进行系统比较。现行公共卫生标准基本符合国家基本公共卫生服务项目中的居民健康档案管理服务规范工作需要。然而,其余13项规范以及国家基本公共服务标准化试点项目中的公共卫生项目对应的公共卫生标准不健全或缺失。现行公共卫生领域标准与实施国家基本公共卫生服务项目存在较大差距。在实现基本公共卫生均等化的进程中,亟需根据基本公共卫生服务项目的相关内容,制定与之相配套的公共卫生领域标准,助推基本公共卫生服务均等化。

To systematically analyze the status of the standardization of basic public health services,the project of basic public health service equalization and the first round of national pilot projects of the standardization of basic public services are carried out to provide support for the promotion of the standardization and equalization of basic public health services.The information about above-mentioned three aspects related to national basic public health services were collected,and a systematic comparison of standardization of basic public health services with the 14 specifications in the National Basic Public Health Service Specification(the 3th Edition)and the 51 pilot projects in the Notice of Carrying Out the Pilot Work of National Basic Public Service Standardization was conducted.The current public health standards are basically in line with the requirement of the resident health record management service specifications.However,the public health standards related to public health projects in other 13 service specifications and national basic public health service standardization pilot projects are incomplete or absent.The current public health standards cannot fully meet the requirements of the implementation of national basic public health services.In the process of promoting the equalization of basic public health service,it is urgent to develop targeted public health standards in related fields.