摘要
健康扶贫作为我国社会治理的一项重要内容,有助于推进健康中国的全面建设。该文梳理了目前我国健康扶贫的实践进展及创新举措,归纳出实践中的4类行动逻辑,发现目前存在:治理的制度供给亟待优化、参与治理主体单一、示范地区的引领作用弱、具体实践与倡导理念相悖以及对治理行动者的激励与监督机制缺乏关注等问题。基于此,该文提出健康扶贫治理需要坚持5项治理原则:循证性原则、系统性原则、经济性原则、动态性原则以及人本性原则。最后,期望该文能为我国贫困人口健康治理的理论构建与推进实践提供一定参考。
As an important part of social governance, the health poverty alleviation plays a key role in promoting Healthy China Strategy. This paper reviews the practice progress of health poverty alleviation in China, and summarizes it’s four action logics. It is found that the governance effect is restrained by several issues, such as pessimistically external governance environment, single governance subject, poor leading role of the pilot areas, specific practices inconsistent with conceptions, and the research has not paid enough attention to the incentive system and supervision mechanism of the practitioners. Based on the above, this paper proposes five governance principles on the governance of health and poverty alleviation: evidence-based principle, systematic principle, economic principle, dynamic principle and peopleoriented principle. Lastly, we hope to provide some preferences to promote the governance practice of health poverty alleviation.
作者
张敏
张淑娥
贺景平
殷东
尹红艳
黄颖
孙涛
ZHANG Min;ZHANG Shue;HE Jingping;YIN Dong;YIN Hongyan;HUANG Ying;SUN Tao(School of Health Management,Harbin Medical University,Harbin,Heilongjiang 150086,P.R.China;Hangzhou Normal University School of Medicine,Hangzhou,Zhejiang 311121,P.R.China)
出处
《华西医学》
CAS
2019年第12期1340-1347,共8页
West China Medical Journal
基金
黑龙江省普通高等学校青年创新人才基金(NUPYSCT-2018061)
黑龙江省卫生和计划生育委员会科研课题(2017-164)
杭州师范大学科研启动经费项目(2019QDL038)
关键词
健康扶贫
行动逻辑
创新举措
政策瓶颈
治理原则
Health poverty alleviation
Action logic
Major innovation
Policy bottlenecks
Governance principle
