中国基本公共卫生服务发展报告(2025)
中文摘要
2009年,《中共中央 国务院关于深化医药卫生体制改革的意见》提出了促进基本公共卫生服务逐步均等化的任务和目标。基本公共卫生服务项目是国家设立的一项重大的战略性制度安排,成为覆盖范围最广、干预人群最多的一项公共卫生干预策略。党的十八大以来,以习近平同志为核心的党中央把维护人民健康摆在更加突出的位置,推进实施健康中国战略,并逐步将预防为主、慢性病健康管理和医防融合作为健康治理的重要内容。基本公共卫生服务项目落实新时代党的卫生与健康工作方针,坚持“以基层为重点”,坚持预防为主、防治结合,历经15年的探索与发展,已成为倡导城乡居民健康生活方式养成、提升基层治理能力的重要载体,增进了人民健康福祉,赢得了民心,为稳固我国基层医疗卫生服务体系、促进国家富强和民族昌盛发挥了保障居民健康的基础性作用。
基本公共卫生服务项目在15年的发展进程中,不断适应城乡居民的健康需求,服务项目、筹资机制、项目管理、绩效评价和服务模式持续完善。服务项目与内容不断丰富,从起初的9大类增加到12大类,2019年从原重大公共卫生服务和计划生育项目中平移划转了部分服务项目,2024年增加了慢性阻塞性肺疾病患者健康服务。人均财政补助标准逐年提高,从2009年的15元增加到2025年的99元。筹资机制持续优化,建立了基本公共卫生服务与常住人口挂钩的资金分配机制,并按照中央和地方财政事权和支出责任划分分担比例。绩效评价机制逐步完善,侧重于人的可感可及,通过对管理效率、投入产出结果和健康改善效果的综合评价,提升资金使用效率,促进项目可持续发展。服务规范不断优化改进,提供模式高度嵌入群众生产生活,不断创新服务内容与服务方式,为群众提供全方位的健康管理服务。
值此基本公共卫生服务均等化政策实施15年之际,国家卫生健康委基层卫生健康司和国家卫生健康委卫生发展研究中心联合出版《中国基本公共卫生服务发展报告(2025)》,谨以此书回顾我国基本公共卫生服务均等化的制度建设历程与实施成效。本书包含总报告、治理篇、专题篇、实践创新篇四个部分。总报告在全面阐述基本公共卫生服务均等化提出背景和战略意义的基础上,深入分析了基本公共卫生服务均等化的内涵与特征,利用翔实的数据全面系统地回顾了基本公共卫生服务15年的服务提供情况,以均等化指数深度分析基本公共卫生服务均等化的实现情况,从健全项目筹资机制、推动项目调整机制落地、提高人员队伍数量和质量、完善区域健康信息平台等方面提出基本公共卫生服务高质量发展的建议。治理篇对基本公共卫生服务均等化发展的政策逻辑和实践逻辑进行全面系统阐释,从制度化建设、财政投入、数智赋能等维度系统展示基本公共卫生服务的发展、重大成就和重大经验,全方位立体式呈现基本公共卫生服务15年的制度发展全貌。专题篇聚焦绩效评价以及老年人、孕产妇和儿童等重点群体,高血压和2型糖尿病等重点慢性病患者健康管理服务,预防接种等方面,系统全面梳理重点人群健康管理服务的实施进展、服务模式和各地实践探索,围绕相关的政策演进、服务提供情况、居民获得感等内容深入分析其成效和面临的挑战,提出高质量发展的建议。实践创新篇从各地实施基本公共卫生服务项目15年的发展历程涌现出的经验做法中,选择组织管理体系创新、财政筹资可持续发展、医防融合模式创新、激励机制创新、电子健康档案互联互通互用等重要议题,介绍可推广可落地的实操举措,为全国基本公共卫生服务高质量发展提供借鉴参考。
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总报告
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治理篇
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专题篇
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实践创新篇
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