论文部分内容阅读
不少决策者最初认为发生于2008年5月的汶川大地震会阻碍卫生改革进程,但事实上,针对地震的应急反应和重建为加速卫生体制改革提供了一个机遇。更重要的是,可以利用这个机会在四川和周边省份建立更好的卫生体系,以便全国其他地区借鉴。但是,新近颁布的重建规划关注重点是重建基础设施。文章认为,更好的做法是重建规划能同时有解决医疗卫生改革纲要中所提及的卫生行业目前面临的主要问题。要做到这一点,就需要政府在卫生、社会保障和其他领域采取有效的、协调一致的应对措施。灾后重建中,一个与卫生改革宗旨协调一致的卫生重建方案至少应包括三方面:实现人人享有医保、加强初级卫生服务和公共卫生服务、改革基本医疗卫生服务提供体系。
Many policymakers initially thought the Wenchuan earthquake that took place in May 2008 would hinder the health reform process, but in fact, the response and reconstruction for the earthquake provided an opportunity to accelerate the reform of the health system. More importantly, this opportunity could be used to establish a better health system in Sichuan and its neighboring provinces for use by other parts of the country. However, the focus of the newly issued reconstruction plan is to rebuild the infrastructure. The article argues that a better approach is to rebuild the plan to simultaneously address the major issues the health sector currently addresses in the health care reform agenda. To do this, the government needs effective and coordinated responses in health, social security and other fields. In post-disaster reconstruction, a health reconstruction program coordinated with the purpose of health reform should at least include three aspects: realizing health insurance for all, strengthening primary health services and public health services, and reforming the system of providing basic medical and health services.