健康中国战略视域下卫生监督管理能力提升研究--基于系统动力学视角

Research on the Improvement of Health Supervision and Management Capacity from the Perspective of Healthy China Strategy:Based on the Perspective of System Dynamics

卫生监督是公共卫生体系的重要组成部分,对推动健康中国战略实施发挥着重要作用。从系统论视角出发,首先形成以资源、组织、履职三个维度为主要构成要素的卫生监督能力结构框架,其次构建反映卫生监督能力要素作用机制的系统动力学模型,探究卫生监督能力发展状况,同时设定三个政策情境进行模拟仿真。研究发现,中国卫生监督能力整体呈增长趋势,通过情景仿真发现,政策支持、人员投入、资产投入均对卫生监督能力表征要素产生正向影响,其中政策支持促进效用最大,其次是人员和资产投入。据此,从政策支持、人才队伍建设、资源投入方面提出了政策建议。

Health supervision is an important part of the public health system and plays an important role in promoting the implementation of the Healthy China strategy.From the perspective of systems theory,this paper firstly forms a structural framework of health supervision capacity mainly composed of three dimensions:resources,organization and performance of duties,and secondly constructs a system dynamics model which reflects the action mechanism of health supervision capacity elements to explore the development status of health supervision capacity,and simultaneously to set three policy scenarios for simulation.The study found that health supervision capacity showed an increasing trend.Through scenario simulation,it was found that policy support,personnel investment,and asset investment all had a positive impact on the characterization factors of health supervision capacity.Among them,policy support had the greatest promotion effect,followed by personnel and asset investment.Accordingly,policy suggestions were put forward from the aspects of policy support,talent team,and resource input.