新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇

龚震宇 刘钦梅

龚震宇, 刘钦梅. 新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇[J]. 疾病监测, 2021, 36(8): 756-761. doi: 10.3784/jbjc.202107030382
引用本文: 龚震宇, 刘钦梅. 新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇[J]. 疾病监测, 2021, 36(8): 756-761. doi: 10.3784/jbjc.202107030382
Gong Zhenyu, Liu Qinmei. Discussion on the construction of disease prevention and control system in the post-COVID-19 epidemic era[J]. Disease Surveillance, 2021, 36(8): 756-761. doi: 10.3784/jbjc.202107030382
Citation: Gong Zhenyu, Liu Qinmei. Discussion on the construction of disease prevention and control system in the post-COVID-19 epidemic era[J]. Disease Surveillance, 2021, 36(8): 756-761. doi: 10.3784/jbjc.202107030382

新型冠状病毒肺炎疫情时代之疾病预防控制体系迎来发展新机遇

doi: 10.3784/jbjc.202107030382
基金项目: 国家科技重大专项(No. 2017ZX10303404)
详细信息
    作者简介:

    龚震宇,男,浙江省桐庐县人,主任医师,主要从事急性传染病、病媒生物和卫生应急工作

    通讯作者:

    龚震宇,Tel:0571–87115173,Email:zhygong@cdc.zj.cn

  • 中图分类号: R211;R181.8;R197

Discussion on the construction of disease prevention and control system in the post-COVID-19 epidemic era

Funds: This study was supported by the National Science and Technology Major Project (No. 2017ZX10303404)
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  • 摘要: 为了总结新型冠状病毒肺炎(新冠肺炎)等突发公共卫生事件应对的经验和教训,本文分析了我国公共卫生体系对人民健康的贡献,回顾了疾病预防控制体系建立、发展、转型和改革完善等历史进程,分析了疾病预防控制体系目前存在的困难和问题,尤其是公共卫生应急管理体系的薄弱环节,并提出下一步改革的建议。 目前,新老传染病的混合流行给公共卫生体系提出了新的巨大挑战,疾病预防控制机构存在经费投入保障不足、职能定位职责边界不清、“医”“防”割裂严重、公共卫生人才总量不足、待遇保障水平较低、网底薄弱、基层队伍老化、急性传染病防治削弱等一系列困难和挑战。 因此,必须牢记党全心全意为人民谋健康的百年初心,重视预防为主,加强疾病预防控制体系建设,从体制机制上解决疾控机构急性传染病防制职能弱项,加大对急性突发传染病防制的投入,完善监测预警,提高现场流行病学调查能力,补上消毒和病媒生物防制能力的弱项,加快推行医防整合,提高疾控机构承担公共健康应急工作的能力。
  • [1] 曾光. 论公共卫生和疾病预防控制系统改革[J]. 中国应急管理科学,2020(3):4–8.

    Zeng G. A study on the system reform of public health and disease prevention and control[J]. J China Emerg Manag Sci, 2020(3): 4–8.
    [2] 吴凡, 陈勇, 付晨, 等. 中国疾病预防控制体系发展改革的若干问题与对策建议[J]. 中国卫生资源,2020,23(3):185–190, 294. DOI: 10.13688/j.cnki.chr.2020.20450.

    Wu F, Chen Y, Fu C, et al. Key issues and recommendations on restructuring China's disease control and prevention system[J]. Chin Health Resour, 2020, 23(3): 185–190, 294. DOI:  10.13688/j.cnki.chr.2020.20450.
    [3] 杨维中. 中国公共卫生70年成就[J]. 现代预防医学,2019,46(16):2881–2884.

    Yang WZ. Achievements of China's public health in the past 70 years[J]. Mod Prev Med, 2019, 46(16): 2881–2884.
    [4] 常继乐. 砥砺奋进的中国疾病预防控制70年[J]. 中国卫生,2019(10):28–29. DOI:10.15973/j.cnki.cn11−3708/d.2019.10.007.

    Chang JL. 70 years of progress in disease control and prevention in China[J]. China Health, 2019(10): 28–29. DOI: 10.15973/j.cnki.cn11−3708/d.2019.10.007.
    [5] 傅亚娟. 新型冠状病毒肺炎疫情防控形势下医疗机构公共卫生工作的新定位[J]. 疾病监测,2021,36(2):114–119. DOI: 10.3784/jbjc.202102200037.

    Fu YJ. New position of public health in medical institutions in the context of COVID-19 epidemic[J]. Dis Surveill, 2021, 36(2): 114–119. DOI:  10.3784/jbjc.202102200037.
    [6] 中华预防医学会新型冠状病毒肺炎防控专家组. 关于疾病预防控制体系现代化建设的思考与建议[J]. 中华流行病学杂志,2020,41(4):453–460. DOI:10.3760/cma.j.cn112338−20200225−00166.

    Special Expert Group for Control of the Epidemic of COVID-19 of the Chinese Preventive Medicine Association. Recommendation on the modernization of disease control and prevention[J]. Chin J Epidemiol, 2020, 41(4): 453–460. DOI: 10.3760/cma.j.cn112338−20200225−00166.
    [7] 李立明. 新型冠状病毒肺炎疫情后公共卫生展望[J]. 中华流行病学杂志,2021,42(7):1143–1147. DOI:10.3760/cma.j.cn112338−20210415−00321.

    Li LM. Public Health outlook after COVID-19 epidemic[J]. Chin J Epidemiol, 2021, 42(7): 1143–1147. DOI: 10.3760/cma.j.cn112338−20210415−00321.
    [8] 潘锋. 新中国70年传染病防控成就举世瞩目——访中国科学院院士、中国疾病预防控制中心主任高福教授[J]. 中国医药导报,2019,16(27):1–6.

    Pan F. Achievements of communicable disease prevention and control of China's in the past 70 years-Professor Gao Fu, Director of Chinese center for disease control and prevention[J]. China Med Herald, 2019, 16(27): 1–6.
    [9] 陈业军, 闵捷. 组建县乡医疗联合体 巩固三级预防保健网[J]. 中国公共卫生管理,2000,16(1):80. DOI:10.19568/j.cnki.23−1318.2000.01.065.

    Chen YJ, Min J. Set-up county and township medical association, consolidate the three-level prevention and health care network[J]. Chin J Public Health Manag, 2000, 16(1): 80. DOI: 10.19568/j.cnki.23−1318.2000.01.065.
    [10] 董柏青, 尤剑鹏, 林玫, 等. 中国传染病预防控制对全球人类健康的贡献[J]. 预防医学论坛,2019,25(9):641–643, 647. DOI:10.16406/j.pmt.issn.1672−9153.2019.09.002.

    Dong BQ, You JP, Lin M, et al. The contribution of China's communicable disease prevention and control to global human health[J]. Prev Med Trib, 2019, 25(9): 641–643, 647. DOI: 10.16406/j.pmt.issn.1672−9153.2019.09.002.
    [11] 中华人民共和国中央人民政府. 毛泽东作七大政治报告——《论联合政府》[EB/OL]. (2008−06−03)[2021−07−01]. http://www.gov.cn/test/2008-06/03/content_1003570.htm.

    The Central People's Government of the People's Republic of China. MAO Zedong's Political Reports on the seventh Congress of the Communist Party of China——On Coalition Government[EB/OL]. (2008−06−03)[2021−07−01]. http://www.gov.cn/test/2008-06/03/content_1003570.htm.
    [12] 中央卫生部李德全部长在政务院第四十九次政务会议上关于卫生会议的报告[J]. 山西政报, 1950(12): 99−101.

    Report of Minister Li Dequan of the ministry of health of the CPC Central Committee on the health conference at the 49th session of the Government Affairs Council[J]. Shan Xi Zheng Bao, 1950(12): 99−101.
    [13] 王延中. 论新世纪中国农民医疗保障问题[J]. 经济管理文摘,2002(8):32–37.

    Wang YZ. On the medical security of Chinese farmers in the new century[J]. Econ Manag Digest, 2002(8): 32–37.
    [14] 习近平. 构建起强大的公共卫生体系, 为维护人民健康提供有力保障[EB/OL]. (2020−09−15)[2021−01−05]. http://www.gov.cn/xinwen/2020-09/15/content_5543589.htm.

    Xi JP. Build up a strong public health system, to safeguard people's health to provide powerful guarantee[EB/OL]. (2020−09−15)[2021−01−05]. http://www.gov.cn/xinwen/2020-09/15/content_5543589.htm.
    [15] 习近平. 全面提高依法防控依法治理能力, 健全国家公共卫生应急管理体系[EB/OL]. (2020−02−29)[2021−01−05]. http://www.gov.cn/xinwen/2020−02/29/content_5484900.htm.

    Xi JP. Improve the prevention and control in accordance with the governance capabilities in accordance with the law, the national public health emergency management system[EB/OL]. (2020−02−29)[2021−01−05]. http://www.gov.cn/xinwen/2020−02/29/content_5484900.htm.
    [16] 李立明, 詹思延, 池慧, 等. 关于改革完善重大疫情防控救治体系的建议[J]. 中华流行病学杂志,2020,41(7):981–985. DOI:10.3760/cma.j.cn112338−20200407−00521.

    Li LM, Zhan SY, Chi H, et al. Suggestions on reforming and improving the prevention and treatment system for major epidemic diseases in China[J]. Chin J Epidemiol, 2020, 41(7): 981–985. DOI: 10.3760/cma.j.cn112338−20200407−00521.
    [17] 程锦泉. 我国疾病预防控制体系现代化建设的思考及对策建议[J]. 中华预防医学杂志,2020,54(5):475–479. DOI:10.3760/cma.j.cn112150−20200221−00151.

    Cheng JQ. Thoughts and suggestions on modern construction of disease prevention and control system[J]. Chin J Prev Med, 2020, 54(5): 475–479. DOI: 10.3760/cma.j.cn112150−20200221−00151.
    [18] 陈卓蕾, 付晨, 吴凡, 等. 我国疾病预防控制机构筹资现状研究[J]. 上海预防医学,2021,33(1):13–18. DOI: 10.19428/j.cnki.sjpm.2021.20625.

    Chen ZL, Fu C, Wu F, et al. Current financing in disease control and prevention institutions in China[J]. Shanghai J Prev Med, 2021, 33(1): 13–18. DOI:  10.19428/j.cnki.sjpm.2021.20625.
    [19] 于竞进, 于明珠, 段勇, 等. 论证中国疾病预防控制体系的首要问题[J]. 卫生研究,2005,34(1):8–9. DOI:10.3969/j.issn.1000−8020.2005.01.004.

    Yu JJ, Yu MZ, Duan Y, et al. The problem of public health service delivery insufficiency of disease prevention and control system of China[J]. J Hyg Res, 2005, 34(1): 8–9. DOI: 10.3969/j.issn.1000−8020.2005.01.004.
    [20] 高晓玲, 杨文草, 秦燕. 加强传染病防治工作, 提高公共卫生水平[J]. 上海预防医学,2003,15(9):481. DOI:10.3969/j.issn.1004−9231.2003.09.030.

    Gao XL, Yang WC, Qin Y. Strengthen the prevention and control of infectious diseases and improve the level of public health[J]. Shanghai J Prev Med, 2003, 15(9): 481. DOI: 10.3969/j.issn.1004−9231.2003.09.030.
    [21] 黄奇帆. 公共卫生领域需要供给侧全面改革[J]. 中国经济周刊,2020(增刊):112–114.

    Huang QF. Public health needs comprehensive reform on the supply side[J]. China Econ Wkly, 2020(Suppl): 112–114.
    [22] 黄颖娴. 疾病预防与控制管理现状评价及改革措施[J]. 现代商贸工业,2021,42(1):102–103. DOI:10.19311/j.cnki.1672−3198.2021.01.046.

    Huang YX. Evaluation and reform measures of disease prevention and control management[J]. Mod Busin Trade Ind, 2021, 42(1): 102–103. DOI: 10.19311/j.cnki.1672−3198.2021.01.046.
    [23] 广东省社会科学界联合会, 中国(海南)改革发展研究院. 改革完善公共卫生治理体系——新时代推进社会治理现代化的重大任务[J]. 新经济,2020(11):4–22. DOI:10.3969/j.issn.1009−8461.2020.11.002.

    Guangdong Federation of Social Science Circles, Hainan Development and Reform Institute of China, the United Study Groups. Reform and improve the public health governance system - a major task to promote the modernization of social governance in the new era[J]. New Economy, 2020(11): 4–22. DOI: 10.3969/j.issn.1009−8461.2020.11.002.
    [24] 世界卫生组织. 世卫组织呼吁达成新的国际条约以应对未来大流行病[EB/OL]. (2021–04–01)[2021–04–02]. http://www.chinanews.com/gj/2021/04–01/9445344.shtml.

    WHO. WHO is calling for a new international treaty to deal with future pandemics[EB/OL]. (2021–04–01)[2021–04–02]. http://www.chinanews.com/gj/2021/04–01/9445344.shtml.
    [25] 龚震宇, 刘钦梅, 王金娜, 等. 新时代中国特色爱国卫生运动增添新内涵——病媒生物预防控制浙江模式的探索[J]. 疾病监测,2021,36(4):312–317. DOI: 10.3784/jbjc.202104010422.

    Gong ZY, Liu QM, Wang JN, et al. New connotations for patriotic health campaign with Chinese characteristics in new era-Exploration of vector prevention and control pattern in Zhejiang[J]. Dis Surveill, 2021, 36(4): 312–317. DOI:  10.3784/jbjc.202104010422.
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出版历程
  • 收稿日期:  2021-07-03
  • 网络出版日期:  2021-08-25
  • 刊出日期:  2021-08-31

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