在中国COVID-19大流行后,公共卫生委员会将如何发展? 在深市平山区进行混合方法研究的勘探
Xu Shao1,2, Xiangling Wu1
1School of Political Science and Public Administration, Wuhan University, Wuhan, China.
Frontiers in public health
|February 1, 2024
概括
由于缺乏决策权,中国的公共卫生委员会表现出行政特征. 政策应该平衡行政和自主方法,以实现有效的社区卫生治理.
科学领域:
- 公共卫生 公共卫生
- 卫生管理卫生管理
- 社区健康 社区健康
背景情况:
- 公共卫生委员会在中国是宪法认可的,对社区疫情控制至关重要.
- 这些委员会已在24个省份成立,突出显示了它们在公共卫生基础设施中的日益重要.
研究的目的:
- 调查公共卫生委员会的组织结构,责任和工作保障.
- 分析影响这些委员会发展和运作的因素.
- 检查行政与自治模式对其有效性的影响.
主要方法:
- 与48名关键人员进行半结构面试,包括部门负责人和社区卫生中心领导人.
- 对1986名社区居民进行了能力建设调查.
- 进行回归分析,以评估性别,年龄和教育对委员会发展的影响.
主要成果:
- 公共卫生委员会在人员,设计,专业性和资金方面表现出行政特征.
- 发现这些委员会的决策功能对其发展的影响微不足道.
- 发展趋势显示,自主化与行政之间存在着摆动效应.
结论:
- 公共卫生委员会目前的行政性质源于缺乏决策权.
- 需要改进公共卫生政策,以平衡自治和行政.
- 未来的发展应该利用基层的自治,强调社区参与自我管理,教育和服务.
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