After SARS Our Country Public Health Reform Countermeasure Analysis

Chinese abstract from November, 2002 to 2003 first half year, our country suddenly SARS epidemic situation, not only also gave for the medical service public health at the same time the social economy, the national security, the government management and so on the multitudinous domain has brought the huge challenge. Although we finally completed have resisted SARS the preventing and controlling duty, but the SARS crisis exposed our country public health enterprise to develop the lag, the emergency mechanism not perfect, the organization direction not unified, the information channel is not unimpeded, the funds investment insufficiency and so on a series of urgent needs solution question. How should to with the improvement present situation, promotes our country public health system construction, and connects rails with the international society, day by day becomes us at present an important work content. This article from the public health was the modern country basic function, the public health crisis after "markets excessively", the SARS crisis exposes the public health system hidden danger as well as SARS our country public health reform countermeasure analysis and so on four aspects has carried on the elaboration, our country public health reform proposes the viewpoint below after SARS: First, the public health is the modern country basic function two, the public health crisis with "markets excessively". Mainly displays in: the government has not treated as the public health disbursement the human resources investment, but only is regards as it one kind of welfare oriented expense; the government attempts with the aid of the market function solution health to finance with the medical service cost control question; the hygienic reform policy intensified the original city and countryside not to be equal three, the SARS crisis exposes the public health system hidden danger. Mainly displays in: the SARS crisis tests arises suddenly the public health event emergency management ability; the new infectious disease threatens the summon reconstruction country safety; The public health whole investment serious is insufficient; The public health disbursement is unreasonable between a city and countryside minute polarity; the public health disbursement local structure is similarly extremely unreasonable; the public health resources leave unused with the efficiency are low; is opposite says in the medical service, the public health function weakens day by day; The city transient population peasant laborer's basic hygienic condition very is especially difficult to obtain the safeguard. After fourth, SARS our country public health reform countermeasure analysis.(1) Public health reform four big principles and the social economy development adapts the health standard is protects the social productive forces development the essential method. Persisted serves the objective for the people's health, the investment will certainly in the people's health is our country next step of health reform and the development strategic core. Must revolve this core, guaranteed all people all can effectively obtain the basic medical care service, the hygienic reform and the development must follow "is fair first, the proper attention to both efficiency "," the basic public health service is equal "," the low income population first profits ","between the supplies side competes "and so on four big principles. (2) Public health reform strategic choice health policy essence is acommunity policy, Not only involves the partial population in our country (to refer to patient),Moreover involves 1.3 billion all population (to refer to state of health). Under limited resources condition, what the community policy trend and are the government function? We thought must be clear about the recent developmental strategy, is for the purpose of promoting the development of the human race, safe guards the human security. Speaking of the hygienic domain, promotes the humanity healthy development, safeguards the human healthy security, reduces the healthy disparity, the elimination health is impoverished. The effective community policy and the government function localization are the improvement is fair, enhances the efficiency, the promotion development guarantee. Display sat the public health is: is for the purpose of through formulation and implementation investing in the people's health basic public health service policy, enable the limited health resources to obtain the full use, the enormous degree improvement basic public health service in owes between developed local and the low income crowd's availability, reduces the healthy disparity whichbecause forms and enjoys the basic public health service level the disparity, then raises all people's health standard. The public health service objective is the investment in the people's health, the transformation health disbursement delivery direction, effectively assigns the hygienic resources, increases the basic public health service the availability, the healthy disparity which the reduction because is the result of, realizes the basic public health service equal, persisted "is low horizontal, the broad cover, the high efficiency" policy, establishment face social and individual multiplex medical health investment channel. (3) construction perfect public health system, the government must provide the public product and the public service government's must be provides the public product and the public service in hygienic domain basic localization for all people. In fact, medical health healthy domain, also has the pure public goods, also has the pure personal goods. The government is not must take care of everything all, but is places with emphasis the basic public health, the guard, takes measures against natural disasters with the maintenance environment in. For the impoverished area, the national minority area "give opportune help" provides the basic public health service, in order to achieves the national lowest standard, enable "everybody to enjoy the primary medical care". Little handlesor does not handle already the surplus big city and the developed area" improved on perfection" to the hygienic resources and the service the matter, does not need or high buys a girl child for the rich person the social stratum to provide in disguised form subsidy. Must implement the use cost low, the social income is high, covers the human false beard big public health plan, the female infant health care and the birth control service, cancels the government gradually to the supplier subsidy, changes to in the consumer subsidy, the medicine research and the development (RD) the investment, promotes male aspect the and so on person health, healthy health care, meals nutrition knowledge and the information dissemination, develops the human resources vigorously, carries on the public health surveillance to measure, creates some essential external environments and the condition for the inhabitant health improvement, fully establishes open-type, the competitive health medical instrument and the drugs market. Its policy goal satisfies the...