江苏省公共健康治理能力评价

Evaluation of the public health governance capacity in Jiangsu Province

  • 摘要:
    目的 评价江苏省公共健康治理能力,为“强富美高”新江苏建设提供优化路径。
    方法 收集江苏省1995年1月—2023年12月涉及公共健康的政策文件806篇、信息报告658篇、研究文献148篇,依适宜公共健康体系评价标准,评价其公共健康治理现状,并明确体系的优势与不足。
    结果 江苏省公共健康治理能力评分为738.16分,排名第3。妇女保健与突发应急能力在全国取得领先水平,均位列全国第2。江苏省公共健康治理在战略层面形成了规范引导,管理机制的内容形式具有较高的完备程度,信息收集实现广泛覆盖,健康目标设置科学合理。但还存在组织体系内各部门职责分配不清晰,专业人员数量不足,政府经费投入未形成稳定增长机制,无法及时识别公众需要等问题,是制约体系发展的瓶颈。
    结论 江苏省公共健康整体水平在全国呈现领先水平,但部分要素发展仍然滞后,未来江苏省公共健康工作要巩固优势、攻坚短板,进一步丰富内容形式,建立稳定经费增长机制,明晰部门职能,为实现“强富美高”新江苏的建设目标提供坚实的健康支撑。

     

    Abstract:
    Objective To evaluate the public health governance capacity in Jiangsu Province and provide an optimized pathway for the construction of a “strong, rich, beautiful, and high-quality” new Jiangsu.
    Methods A total of 806 policy documents, 658 public information reports, and 148 research literatures related to public health governance capacity in Jiangsu Province from January 1995 to December 2023 were collected. The status of current public health goverance was assessed based on the evaluation criteria suitable for public health systems, and the strengths and the weaknesses of the system were identified.
    Results The public health governance capability of Jiangsu Province was scored at 738.3 points, ranking 3rd nationally. Maternal health care and emergency response capacities achieved leading positions nationwide, both ranking 2nd. Jiangsu had exhibited a standardized guidance in the strategic level, a well-established management mechanism, an extensive coverage in information collection, and a scientifically established health targets setting. However, bottlenecks remained, including an unclear division of responsibilities across organizational departments, an insufficient public-health workforce, the absence of a stable growth mechanism for government funding investment, and difficulties in promptly identifying public needs.
    Conclusion Jiangsu’s public-health system demonstrates leading nationally, yet several components remain underdeveloped. Future efforts should consolidate advantages while addressing weaknesses, further diversify content and forms, establish a stable funding increase mechanism, and clarify departmental functions, thereby providing solid health support for realizing the developmental goals of a “strong, rich, beautiful and high-quality” new Jiangsu.

     

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