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◆一切为了人民健康——我们这十年 ·专项研究报告·

国家基本公共卫生服务项目十年评价（2009—2019 年）

系列报告（三）
——国家基本公共卫生服务项目实施十年：挑战与建议 扫描二维码
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尤莉莉，陈新月，杨凌鹤，赵金红，潘钰婷，张思琪，刘远立 *

【摘要】 国家基本公共卫生服务项目作为深化医药卫生体制改革的一项重要措施，已开展十余年。因此评估
该项目实施十年（2009—2019 年）的效果和尚存的问题，对进一步推进国家基本公共卫生服务意义重大。本文参照
Donabedian 质量理论，从项目目标、项目内容、运行机制、实施过程、产生效果等方面，总结并分析当前我国基本公
共卫生服务仍存在的关键问题，并从六方面提出了相关建议，主要为：基于科学论证，动态调整项目；建议国家基本
公共卫生服务进行分级、分类管理；适时修订项目规范，促进服务提质增效；逐步推进以效果为导向的评价考核制度；
完善运行机制，促进可持续发展；充分发挥县域医共体作用，加强服务协同；建立科学、长效的国家基本公共卫生服
务项目监测机制。以为进一步完善、优化国家基本公共卫生服务项目提供参考。
【关键词】 公共卫生；国家基本公共卫生服务项目；公共卫生系统研究；评价研究；政策建议；中国
【中图分类号】 R 197 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2022.0406
尤莉莉，陈新月，杨凌鹤，等 . 国家基本公共卫生服务项目十年评价（2009—2019 年）系列报告（三）——国家
基本公共卫生服务项目实施十年：挑战与建议［J］. 中国全科医学，2022，25（26）：3221-3231. ［www.chinagp.net］
YOU L L，CHEN X Y，YANG L H，et al. National Essential Public Health Services Programs over the Past Decade
Research Report Three：Challenges and recommendations of implementation National Essential Public Health Services Programs
over the past decade［J］. Chinese General Practice，2022，25（26）：3221-3231.

National Essential Public Health Services Programs over the Past Decade Research Report Three：Challenges and
Recommendations of Implementation National Essential Public Health Services Programs over the Past Decade YOU
Lili，CHEN Xinyue，YANG Linghe，ZHAO Jinhong，PAN Yuting，ZHANG Siqi，LIU Yuanli *
School of Health Management Policy，Chinese Academy of Medical Sciences/Peking Union Medical College，Beijing 100730，
China
*
Corresponding author：LIU Yuanli，Professor，Doctoral supervisor；E-mail：liuyuanli_pumc@163.com
【Abstract】 As an important measure to deepen the reform of the medical and pharmaceutical health system，
the National Essential Public Health Services Programs has been carried out for more than ten years. Therefore，it is of great
significance to evaluate the effect and remaining problems of the programs over the decade of implementation period （2009-
2019） and to further promote the country's basic public health services. With reference to Donabedian quality theory，this paper
summarized and analyzed the key problems existing in China's basic public health services from the aspects of project objectives，
project contents，operation mechanisms，implementation processes and effects，and make relevant suggestions from six
aspects，mainly as follows: based on scientific reasoning，dynamically adjusting the programs；suggestion that the national basic
public health services should be graded and managed by classification；timely revision of project specifications to improve service
quality and efficiency；gradually promoting the effectiveness-oriented evaluation and assessment system；improving operational
mechanisms and promoting sustainable development；fully playing the role of county medical community，and enhancing service
coordination；establishing a scientific and long-term monitoring mechanism for national essential public health services programs.
It provides reference for further improvement and optimization of national essential public health services progjects.
【Key words】 Public health；National Essential Public Health Services Programs；Public health systems research；
Evaluation study；Policy recommendations；China

基金项目：国家卫生健康委委托项目——国家基本公共卫生服务实施十年效果评估
100730 北京市，中国医学科学院 北京协和医学院卫生健康管理政策学院
*
通信作者：刘远立，教授，博士生导师；E-mail：liuyuanli_pumc@163.com
本文数字出版日期：2022-07-06