世界卫生组织(WHO)在1977年发表的“阿拉木图宣言”中,把“人人享有卫生保健”(health for all)作为WHO的全球卫生策略。然而在此宣言发表的20年后,世界各国的卫生服务体系并没有像WHO所设想的那样进行重新的定位,反而出现了更加令人忧虑的现象,如卫生服务的不平等分配、因病致贫现象和新疾病不断出现等等,严重威胁着人类的健 In the “Alma Declaration” published by the World Health Organization (WHO) in 1977, “health for all” was adopted as WHO’s global health strategy. However, 20 years after the declaration was issued, the health service systems of countries in the world have not been repositioned as envisaged by the WHO. Instead, more worrying phenomena have emerged, such as the unequal distribution of health services and the The phenomenon of poverty and the emergence of new diseases continue to pose a serious threat to human health.