Cheng Jing-Min, Yuan Yong-Xu, Lu Wei, Yang Le
1Health Management and Policy Research Center, School of Management,Shanxi Medical University,Jinzhong,Shanxi,China.
2Medical Record Department, Second Hospital of Shanxi Medical University,Taiyuan,Shanxi,China.
Prim Health Care Res Dev. 2017 Jul;18(4):398-403. doi: 10.1017/S1463423617000111. Epub 2017 Mar 14.
Good primary health care can enhance national health status at relatively low cost. The barefoot doctor model in China was once considered to have been a successful health care policy. It was a model which was followed by other low-developed or developing countries. In recent decades, the Chinese government promulgated a number of new policies and health reforms to improve its health care system.
This paper aimed to highlight the great significance of primary health care and appeal to the policymakers to change the priority to primary health care in order to be able to guarantee universal health care for the whole nation at least at primary care level.
This study discussed Chinese primary health care by reviewing its history and development.
Chinese government's efforts do not seem to be leading to a completely successful outcome for all the people of China as a result of the substantial imbalance of investments between tertiary level hospitals and grass-root level health care institutions. The government appears to have neglected the importance of primary health care in the implementation of health systems and resources.
优质的初级卫生保健能够以相对较低的成本提升国民健康状况。中国的赤脚医生模式曾被视为一项成功的卫生保健政策。该模式曾被其他欠发达或发展中国家效仿。近几十年来，中国政府颁布了多项新政策和卫生改革措施以完善其卫生保健体系。
本文旨在强调初级卫生保健的重大意义，并呼吁政策制定者改变优先次序，将重点转向初级卫生保健，以便至少在初级保健层面确保全民享有医疗保健服务。
本研究通过回顾中国初级卫生保健的历史与发展来进行探讨。
由于三级医院与基层医疗卫生机构之间投资严重失衡，中国政府的努力似乎并未给全体中国人民带来完全成功的结果。政府在卫生系统和资源的实施过程中似乎忽视了初级卫生保健的重要性。
