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目前,我国面临传染病和非传染病的双重威胁越来越大,由此而导致的疾病负担越来越重;“未富先老”的挑战日益尖锐;城镇化带来的传染病和“现代病”问题越来越突出。面临以上的挑战,中国要可持续发展,必须进行健康投资,认真管理健康资源,减少浪费,增加价值。大力发展社区卫生服务工作是政府着力解决群众看病难、看病贵的基点;实施社区居民健康档案管理是实现公众医疗保健公平、公正的落脚点。建立家庭健康档案是社区卫生服务的重点工作之一。各级政府必须确定有利于人民健康的执政理念,在有关政治、经济、文化以及生态环境的发展之中,公正、公平地分配医疗资源,保障人民群众享有公正、公平的医疗卫生服务。医疗改革首先应从经济层面上给出更合理的制度安排,其中最关键的问题是为全国最广大人民群众享有基本医疗保障提供经济支撑和保障。我们应抓住医改机遇,无论是政府、卫生部门,还是社区卫生服务机构都要从自身做起,各负其责,协调和促进健康管理工作的落实和发展,切实保障人民群众享有公正、公平的医疗卫生服务。
At present, the dual threat of infectious diseases and non-communicable diseases in our country is increasing. As a result, the disease burden is getting heavier and heavier. The challenge of “getting old before getting rich” is becoming increasingly acute. Infectious diseases caused by urbanization And “modern disease ” problem is more and more prominent. Faced with the above challenges, China needs sustainable investment, requires healthy investments, earnestly manages its health resources, reduces waste and adds value. Vigorous development of community health services is the government efforts to solve the problem of the masses of people difficult to see a doctor, the basis for your health; implementation of community health records management is to achieve public health care fair and just the foothold. Establishing family health records is one of the key tasks of community health service. Governments at all levels must determine the ruling philosophy that is conducive to the health of the people, allocate medical resources fairly and equitably in the development of political, economic, cultural and ecological environments so as to guarantee that people enjoy fair and equitable medical and health services. First of all, medical reform should give more rational institutional arrangements at the economic level. The most crucial issue is to provide economic support and guarantee for the vast majority of the people in the country to enjoy basic medical insurance. We should seize the opportunity of medical reform. Whether the government, the health sector, or the community health service agencies should start from themselves, each responsible for, coordinating and promoting the implementation of health management and development, and earnestly safeguard the people’s enjoyment of fairness and justice Medical and health services.