摘要
健康促进是对所有健康影响因素进行干预,健康管理是实施健康促进策略的具体措施,而基本卫生保健是实现"全民健康覆盖"目标的基础和途径。作者基于对健康促进和健康管理基本定义的理解及与基本卫生保健相互关系的分析,提出了基于基本卫生保健的健康管理模式,即以基本卫生保健体系为基础,对所有相关服务内容和卫生资源进行有效整合,实施以人为中心的全流程、全周期的健康管理,对健康影响因素进行有效干预,从而改善居民健康状况,并构建起健康防贫的长效机制。基于基本卫生保健的健康管理模式,需要在县域内建立起系统性的健康管理服务体系和有效的协同支撑机制。基于基本卫生保健的健康管理服务,强调运用基本卫生保健的基本原则,强化预防与医疗、群体性与个体化、服务提供和自我管理等方面的融合,对健康管理服务的任务、路径、标准、质量控制予以明确和规范;同时围绕健康管理服务内涵对县域医疗卫生机构、卫生人力、卫生信息、卫生经费、运行机制进行相应的协同和整合,以保证健康管理服务的有效性和可持续性。
Health promotion is to intervene all health influencing factors,health management is the specific measure to implement health promotion strategy,and primary health care is the basis and way to achieve the goal of Universal Health Coverage.Based on the analysis of the relationship among health promotion,health management and primary health care,the authors put forward a health management model based on primary health care,which is based on the primary health care system,effectively integrates all relevant health services and resources,implements a full human-centered process and comprehensive life-cycle health management,conducts effective intervention on health influencing factors,improves residents′health conditions,and builds a long-term mechanism for poverty prevention in China.Primary health care-based health management model asks for a systematic health management service system and an effective collaborative support mechanism.Primary health care-based health management services emphasize the application of basic principles of primary health care,and focus on the integration of prevention and medical treatment,group and individualization,service provision and self-management.The key is to clarify and standardize the tasks,paths,standards,and quality control of health management services.Meanwhile,centering on the connotation of health management services,the county-level medical and health institutions,health personnel,health information,health financing,and operating mechanisms should be coordinated and integrated to ensure the effectiveness and sustainability of health management services.
作者
张朝阳
俞鸯
陈静宜
王晓华
汪宏
Zhang Zhaoyang;Yu Yang;Chen Jingyi;Wang Xiaohua;Wang Hong(China Rural Health Association,Beijing 100069,China;Center for Project Supervision and Management,National Health Commission,Beijing 100044,China;Bill&Melinda Gates Foundation,Seattle 98102,U.S.A)
出处
《中华医院管理杂志》
CSCD
北大核心
2020年第6期441-445,共5页
Chinese Journal of Hospital Administration
基金
中国-盖茨基金会农村基本卫生保健项目(OPP1176308)。
关键词
健康促进
基本卫生保健
健康管理
健康扶贫
Health promotion
Primary health care
Health management
Health poverty alleviation
作者简介
通信作者:张朝阳,Email:zhangzhy@qq.com。
