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目的:对“十三五”期间昆山市的卫生计生事业发展的外部环境进行分析,为编制规划提供依据。方法:基于PEST模型,采用政策文件、二手统计资料、定性访谈、分析经济水平、人口结构等,对影响卫生计生事业的政治、经济、社会、技术四个方面做了分析。结果:昆山市的卫生计生等社会民生事业被摆在了更加突出的位置;人均GDP是全国的近4倍,遥遥领先;人口总量大,外来人口比例远远高于周边地区,人口老龄化加快,孕产妇保健服务不断增长,居民的预期高;卫生信息化方面有诸多的实践。结论:昆山市卫生计生事业的外部环境除了社会事业的重要性提升、人口政策变动等与其他县域的政策环境相同外,现代化大城市发展的长远定位、人口需求的特殊性及发展卫生信息化的必然性等方面与其他地区不同。作为发达县域代表的昆山,具有社会经济改革创新的经验和坚实的经济基础。昆山市既有压力、也有能力去探索发达县域的卫生计生事业发展模式,实现基层创新。
Objective: To analyze the external environment for the development of health planning and career in Kunshan City during the “Thirteen Five-Year Plan”, and provide the basis for planning. Methods: Based on the PEST model, this paper analyzes the political, economic, social and technological aspects that affect the health planning career by using policy documents, second-hand statistical data, qualitative interview, analyzing economic level and population structure. Results: Kunshan City health planning and other social livelihood has been placed in a more prominent position; per capita GDP is nearly 4 times the country, far ahead; total population, the proportion of foreign population is much higher than the surrounding areas, population aging Speed up, maternal health services continue to grow, residents expect high; health informatization has many practices. Conclusion: The external environment of health planning and career in Kunshan City not only promotes the importance of social undertaking, but also changes the population policy and other county’s policy environment. The long-term localization of modern metropolis development, the particularity of population demand and the development of health informatization Inevitability and other areas different from other regions. As a representative of the developed county, Kunshan has experience in social and economic reform and innovation and a solid economic foundation. Kunshan City, both under pressure, but also have the ability to explore the developed county health planning career development model, to achieve grass-roots innovation.