Zhang Ping, Liang Yuan
Department of Social Medicine and Health Management,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.
Prim Health Care Res Dev. 2018 Jan;19(1):99-104. doi: 10.1017/S1463423617000421. Epub 2017 Jul 20.
For countries faced with much talk but little action on healthcare reform, China's National Health Guiding Principles (CNHGP), with its 60-year history, may provide a new perspective. There are four values of CNHGP for healthcare reform. First, these principles provide an innovative strategic framework for healthcare reform with three levels, from 'One priority population' to 'Four approaches' and then to 'Two aims.' The second is the importance of mass/grassroots participation, which runs through all three levels of CNHGP. The third value is that the CNHGP used nonspecific social approaches, an innovation in healthcare delivery that addressed the social determinants of health. The fourth value is the integration between Chinese traditional medicine and Western medicine.
对于那些在医疗改革方面谈得多但行动少的国家来说,有着60年历史的中国国家卫生指导原则(CNHGP)或许能提供一个新视角。中国国家卫生指导原则在医疗改革方面有四个价值。其一,这些原则为医疗改革提供了一个创新的战略框架,该框架有三个层次,从“一个优先人群”到“四种途径”,再到“两个目标”。其二是群众/基层参与的重要性,这贯穿于中国国家卫生指导原则的所有三个层次。第三个价值在于中国国家卫生指导原则采用了非特定的社会方法,这是医疗服务提供方面的一项创新,解决了健康的社会决定因素问题。第四个价值是中西医结合。