摘要
为了进一步分析健康自治的经验和困境,以我国台湾地区的社区健康营造活动为例进行了个案分析。在简要介绍台湾地区社区健康营造的缘起和发展、自治体系建立过程和自治运行过程经验的基础上,指出许多社区健康营造中心受限于自身的财力和人力资源不足而逐渐与“自治”理念相背离,面临资源整合、人才流失和持续性经营等困境,认为将社区基层组织体系的自治活力和政府的组织协调职能相结合建立政府—社会合作机制,才能在健康自治中取得更好的健康促进效果。
In order to deeply analyze the experience and plight of healthy self-governance,this article takes a case study on healthy community building in Taiwan Province.After briefly introducing the experience of origin and development of health community building,the establishment process of self-governance system and the running process of self-governance in Taiwan province,it points out that many community health building centers are constrained by their financial and human resources and gradually deviates from the"self-governance"ideas,facing plights such as resource integration,brain drain and sustainable management.It is believed that combining the self-governance capability of community grassroots organizations and the organizational coordination function of government,which establishes a government-social cooperation mechanism,can achieve better health promotion in healthy self-governance.
作者
周长友
项继权
ZHOU Chang-you;XIANG Ji-quan(Centre for Medical Humanities Studies,Chongqing Medical University,Chongqing 400016,China)
出处
《医学与哲学》
2019年第16期50-54,共5页
Medicine and Philosophy
基金
2019年教育部人文社会科学青年基金项目(19YJC840065)
2017年重庆市教委人文社会科学规划项目(17SKG171)
关键词
健康自治
健康促进
社区健康营造
health self-governance
healthy promotion
healthy community building
