重大突发公共卫生事件中的公共服务体系建设研究进展

Research Progress on Public Service System Construction in Major Public Health Emergencies

重大突发公共卫生事件对公共服务体系建设提出了更高要求。当前,我国公共服务体系建设主要服务于常态下的基本民生保障需求,而在重大突发公共卫生事件中呈现出明显的不适应性,非常态下居民的公共服务需求未被满足。在新冠肺炎疫情仍在全球蔓延的情况下,建立完备的应急预案和完善的公共服务体系必要而迫切。本研究以新冠肺炎疫情防控为例,基于对浙江6个地市调研的一手资料分析和针对各级政府文件的文本分析,形成了公共服务要素识别、公共服务应急管理机制和智慧治理三个方面的研究成果,包括应急状态下基本公共服务项目清单、应急处置服务要素清单、应急管理机制和优化的应急预案,并提出"战略思维""平战结合""高效协同""智慧治理"的政策建议,为公共服务体系的完善提供科学决策依据。

Major public health emergencies put forward higher requirements for the construction of the government’s public service system.At present,the National Public Service System mainly serves the basic needs of people’s livelihood under the normal circumstances,but shows obvious maladjustment in public health emergencies,and cannot meet residents’ public service needs under extraordinary circumstances.With the global spreads of COVID-19 pandemic,it is necessary and urgent to establish a comprehensive emergency plan and a sound public service system.Taking the COVID-19 prevention and control as the example,this study was based on the primary data analysis from six prefecture-level cities in Zhejiang Province,and the textual analysis of government documents at all levels.It has formed research achievements in three aspects:identification of public service elements;public service emergency management mechanism;intelligent governance.The list of basic public service items under emergency state,the list of emergency response service elements,as well as the emergency management mechanisms and the optimized response plan are also included in this paper,so as to provide a scientific basis for improving public service system and put forward four policy suggestions:"strategic thinking","peacetime and wartime combination","efficient coordination"and"intelligent governance".