后疫情时期韧性卫生系统的挑战及建设策略

Challenges and construction strategies of resilient health system in post-epidemic period under public health emergencies

目的 了解国内外后疫情时期韧性卫生系统面临的现状,为建设我国高韧性卫生系统提出策略。方法 通过回顾国内外文献,总结国内外卫生系统韧性建设中所遭遇的瓶颈及挑战,对卫生系统的弱点与结构性缺陷进行深入分析,提出建议。结果 我国疫情时期韧性卫生系统面临卫生人力资源短缺、应急物资储备体系不完善、卫生筹资结构不合理、卫生信息系统资源冗杂、管理与合作能力不足、医疗卫生服务中断等问题,从卫生人力资源、医疗产品与技术、卫生筹资、卫生信息系统、领导与治理、医疗卫生服务为核心的卫生系统发展等方面对我国韧性卫生系统建设与管理提出建议。结论 在总结国内外后疫情时期卫生系统韧性的基础上,完善我国关于高韧性卫生系统的研究,对建立更加全面而有韧性的卫生服务模式具有重要意义。

Objective To understand the current situation of resilient health system at home and abroad in the postepidemic period,and to put forward strategies for the construction of high-resilient health system in China.Methods By reviewing domestic and foreign literatures,the bottlenecks and challenges encountered in the resilience construction of health systems at home and abroad were summarized,the weaknesses and structural defects of health systems were analyzed in depth,and suggestions were made.Results During the epidemic period,China 's resilient health system was faced with problems such as shortage of health human resources,imperfect emergency material reserve system,unreasonable health financing structure,redundant resources of health information system,insufficient management and cooperation ability,and interruption of medical and health services.Suggestions on the construction and management of China 's resilient health system were put forward from the aspects of health human resources,medical products and technology,health financing,health information system,leadership and governance,and the development of health system with medical and health services as the core.Conclusion On the basis of summarizing the resilience of health systems in the post-epidemic period at home and abroad,it is of great significance to improve the research on high resilience health systems in China and establish a more comprehensive and resilient health service model.