通过非医疗干预推进全民健康覆盖:中国国家健康政策体系的演变和公平性
ZhiHua Wang1, Pingping Zhou2, Chuan Mou1
1College of Physical Education, Sichuan University, Chengdu, China.
Frontiers in public health
|March 9, 2026
概括
中国中国中国中国.
科学领域:
- 公共卫生政策 公共卫生政策
- 卫生治理 卫生治理
- 非传染性疾病的预防和预防.
背景情况:
- 身体不活动导致非传染性疾病 (NCD),威胁到全民健康覆盖 (UHC) 的可持续性.
- 中国国家健身倡议是"健康中国2030"预防健康战略的关键.
- 这项研究考察了70年来中国的体育活动政策,以获得全球UHC治理见解.
研究的目的:
- 评估70年来中国体育活动政策的演变.
- 分析中国公共卫生干预中使用的治理结构和政策工具.
- 为全球卫生系统提供关于通过非医疗干预来实现可持续的UHC的教训.
主要方法:
- 用混合方法分析了145份中央级政策文件 (1949-2021年).
- 用于治理结构的时间映射和社会网络分析 (SNA) 的定量评估.
- 潜在的迪里克莱特分配 (LDA) 对主题优先事项和政策工具的定性编码.
主要成果:
- 2012年后,政策活动激增,重点是预防性医疗保健.
- 中央化治理涉及关键部门,但更广泛的整合是有限的.
- 政策重点是设施和弱势群体,体育与健康融合和数字健康方面存在差距.
结论:
- 中国国家主导的模式扩大了预防覆盖范围,但需要转向多利益相关者治理,以实现UHC的可持续性.
- 加强部门间协调和多样化政策工具至关重要.
- 一个有弹性,以公平为导向的系统可以减轻治愈医疗服务的负担.
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