建强初级卫生保健体系是实现健康中国的重要保障

A Strong Primary Health Care Is Fundamental to Achieve Healthy China

初级卫生保健既是国家卫生健康系统的核心,也是实现联合国2030年可持续发展目标和全民健康覆盖的基石。基于《阿拉木图宣言》对初级卫生保健的定义,文章系统回顾了我国初级卫生保健的发展历程,从陈志潜先生创立的河北定县农村医学试点,到新中国成立以来我国在加强初级卫生保健、提高国民健康水平方面的重要举措,提炼总结我国初级卫生保健的主要做法、成效和经验。通过分析当前我国初级卫生保健体系存在的短板和不足,围绕健康中国建设的基本目标和任务,认为未来应持续加强以初级卫生保健为核心的医疗卫生服务体系建设,推动构建以人为本的整合型医疗卫生服务体系,这将是推动健康中国建设成功的关键。

Primary health care is widely regarded as the core of the national health system,and also fundamental for achieving UN 2030 Sustainable Development Goals and Universal Health Coverage.According to the definition of primary health care proposed by THE DECLARATION OF ALMA-ATA,it systematically reviewed the progress of China’s primary health care,from the Dingxian Model of community medicine to the key initiatives of China in strengthening primary health care and improving national health indicators since the founding of New China,and summarizing its main practices,achievements as well as experiences.It is followed by a discussion of the shortcomings and deficiencies of the current primary healthcare system in China and then comes up with suggestions based on the basic goals and tasks of Healthy China 2030.It concludes that continuing to build health service delivery systems with primary health care as the core,and promoting people-centered integrated care,would be the key to the success of promoting a healthy China.