Ben Abdelaziz Ahmed, Ben Abdelaziz Asma, Zoghlami Chokri, Khelil Mohamed, Barhoumi Tarek, Ben Abdelfattah Sami, Ben Salem Kamel
Tunis Med. 2018 Oct-Nov;96(10-11):706-718.
Following the Tunisian revolution of 2010/2011, a new Public Health literature emerged, by the ministerial departments as well as the civil society, which was marked by the transparency and the comprehensiveness of the approach.
To identify the key ideas of the new Tunisian Public Health discourse, reconciling the principles of a globalizing paradigm with the health problems of a country in transition.
During this qualitative research, a selected series of three Tunisian reports of Public Health, published in the first quinquennium of the revolution, was read by an independent team of experts in Public Health, not having contributed to their elaboration, to identify the consensual foundations of the new Public Health discourse. These documents were: the "2011 Health Map" of the Department of Studies and Planning of the Ministry of Health, the "Societal Dialogue Report on Health Policies, Strategies and Plans" (2014), and the "Report on the right to health in Tunisia" (2016).
The reading of this sample of the Tunisian Public Health literature of the post-revolution brought out three consensual ideas: 1. The constitutional principle of the "right to health" (article 38 of the constitution) with its corollary the State's obligation to ensure access to comprehensive, quality and secure care; 2. The challenge of social "inequalities" of access to care, reinforced by a regional disparity in the distribution of resources, particularly high-tech (specialist doctors, university structures); 3. Advocacy for a National Health System, based on a universal health coverage for its funding and citizen participation in its governance.
The new Tunisian Public Health literature, in post-revolution, calls on all stakeholders in Preventive and Community Medicine to replace their segmental, technical and hospital practices with a new approach, centered on the implementation of a National Health System that is based on a socialized financing of care and citizen participation in its management.
2010/2011年突尼斯革命之后，部长级部门和民间社会涌现出了一批新的公共卫生文献，其特点是方法具有透明度和全面性。
确定突尼斯新公共卫生话语的关键理念，使全球化范式的原则与转型中国家的健康问题相协调。
在这项定性研究中，一个由公共卫生专家组成的独立团队阅读了在革命后的第一个五年期内发表的一系列选定的三份突尼斯公共卫生报告，这些专家没有参与报告的撰写，目的是确定新公共卫生话语的共识基础。这些文件分别是：卫生部研究与规划司的《2011年健康地图》、《关于卫生政策、战略和计划的社会对话报告》（2014年）以及《突尼斯健康权报告》（2016年）。
对革命后突尼斯公共卫生文献样本的阅读得出了三个共识性观点：1. “健康权”的宪法原则（宪法第38条）及其必然结果，即国家有义务确保提供全面、优质和安全的医疗服务；2. 获得医疗服务方面社会“不平等”的挑战，资源分配的地区差异加剧了这种不平等，特别是高科技资源（专科医生、大学机构）的差异；3. 倡导建立国家卫生系统，其资金基于全民健康覆盖，治理方面有公民参与。
革命后的突尼斯新公共卫生文献呼吁预防医学和社区医学的所有利益相关者用一种新方法取代他们局部的、技术的和医院式的做法，这种新方法以实施国家卫生系统为中心，该系统基于医疗服务的社会化融资和公民参与管理。
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