Abstract:

The National Essential Public Health Services Programs (NEPHSP) is a systematic and overall basic public service system arrangement made by the Chinese government at the national level aiming at the main health problems existing in urban and rural residents and targeting at key population key diseases and the whole population. Year of 2019 is the tenth anniversary of the NEPHSP implementation. This article summarized the significance of implementing NEPHSP based on a 10-year evaluation of NEPHSP from four aspects: universal health coverage, Healthy China 2030 strategy, China's deepening health system reform and major institutional innovation. At the same time, several main experiences of successful projects were summarized, including the following five aspects: establishing and improving a strong project organization and management system, steadily increasing strength of financial support, following the principle of gradual implementation of projects, advocating and encouraging local exploration in accordance with local conditions, and adhering to clear reward and punishment performance appraisal. From the historical perspective, this paper summarized the implementation of the great project led by the Chinese government in order to introduce the Chinese way, Chinese practice and Chinese experience of primary health care work in the new era at home and abroad.

Key words: Public health, National essential public health services programs, Public health systems research, Evaluation study, Experiences, China

摘要：

国家基本公共卫生服务项目是我国政府针对城乡居民存在的主要健康问题，以重点人群、重点疾病和全体人群为对象，从国家层面做出的一项系统性、全局性的基本公共服务制度安排。2019年是国家基本公共卫生服务项目实施10周年，本文基于国家基本公共卫生服务项目实施十年效果评估项目，从全民健康覆盖、健康中国战略、深化医疗卫生体制改革和重大制度性创新四个方面，总结了实施国家基本公共卫生服务项目重要意义；同时，梳理出项目取得成功的几项主要经验，包括：建立健全强有力的项目组织管理体系、稳步提高的财政支持力度、项目实施遵循循序渐进的原则、提倡和鼓励因地制宜的地方探索、坚持赏罚分明的绩效考核五个方面；从历史性视角，通过对由中国政府主导的这一重大惠民工程的成果加以总结，以期向国内外展示新时期初级卫生保健工作的中国道路、中国实践和中国经验。

关键词: 公共卫生, 国家基本公共卫生服务项目, 公共卫生系统研究, 评价研究, 经验, 中国