<

Special Issue:Primary Health Governance

Default Latest Most Read  
Please wait a minute...
For Selected: Toggle Thumbnails
1. Research on the Digital Traditional Chinese and Western Medicine Collaborative Health Governance Model Based on the Logic of Health Co-prosperity
NI Minhan, WU Zhihan, ZHOU Siyu, HUANG Xianhong, SUN Tao, WANG Xiaohe, CUI Linlin
Chinese General Practice    2025, 28 (13): 1567-1572.   DOI: 10.12114/j.issn.1007-9572.2023.0770
Abstract336)   HTML8)    PDF(pc) (1317KB)(426)    Save

Health co-prosperity is the conceptual interpretation and application extension of the logic of common prosperity in the field of health. Building a digital collaborative health governance model between Chinese and western medicine based on the advantages of digital reform is the "Zhejiang Model" of health co-prosperity and helps to achieve the goal of high-quality full life cycle medical and health services. This article is based on the collection of relevant policies on the digital collaboration between Chinese and western medicine during the construction of the Common Prosperity Demonstration Zone in China and Zhejiang Province. It elaborates on the definition and connotation of health co-prosperity, and selects the digital Chinese and western coordinated health governance model of provincial, grassroots platforms, and medical institutions in Zhejiang Province as a specific case to explain the theme and path of the system design logic, grassroots platform logic, and institutional service logic of health co-prosperity, to provide reference and suggestions for the innovative construction and optimization of the collaborative health governance model between Chinese and western medicine.

Table and Figures | Reference | Related Articles | Metrics
2. Comparative Study of Traditional Chinese Medicine and Indian Traditional Medicine from the Perspective of International Development
CHEN Ying, ZHOU Shuduo, YANG Jian, HU Yunxuan, FENG Xiangning, XU Ming
Chinese General Practice    2025, 28 (09): 1052-1060.   DOI: 10.12114/j.issn.1007-9572.2023.0894
Abstract339)   HTML21)    PDF(pc) (1371KB)(716)    Save

Traditional Chinese medicine (TCM) is an important part of Chinese traditional culture. It's also an important health resource, economic resource, technological resource, cultural resource and ecological resource in our country. The international development of TCM is an important part of the inheritance and innovation of TCM. In the global traditional medicine system, Indian traditional medicine is the most influential. Development status, international development strategies and impact of Indian traditional medicine are greatly comparable with those of TCM. From the perspective of international development, this paper compared TCM and Indian traditional medicine from seven aspects: service delivery, health workforce, production capacity of traditional medicines, financial allocation for health system and health insurance policy, health governance, product export situation and target markets, international development and influence. It aimed to learn from the successful experience of the international development of Indian traditional medicine, and provide reference for the international development of TCM. In order to actively promote the international development of TCM, make important contributions to deepening the cultural identity of TCM overseas and promote the participation of TCM in global health governance.

Table and Figures | Reference | Related Articles | Metrics
3. Expert Consensus on Primary Health Governance 2024
Public Health Security and Health Professional Committee of the Public Safety Science and Technology Society, General Practitioner Branch of Chinese Medical Doctor Association
Chinese General Practice    2025, 28 (01): 13-19.   DOI: 10.12114/j.issn.1007-9572.2024.0264
Abstract624)   HTML17)    PDF(pc) (1294KB)(329)    Save

Primary health governance is a crucial part of the national health governance system and plays a key role in achieving universal health. However, primary health governance currently faces many challenges. The Expert Consensus on Primary Health Governance is led by the Public Health Security and Health Professional Committee of the Public Safety Science and Technology Society, in collaboration with experts from multiple disciplines. The aim of this consensus is to integrate evidence-based scientific evidence, practical wisdom, and experience from multidisciplinary experts in primary health-related fields. This consensus addresses the connotations, significance, objectives, basic principles, system construction elements, capacity building elements, institutional elements, and technical means of primary health governance. It provides scientific, systematic, and operable consensus opinions and suggestions to enhance the level of primary health governance, standardize primary health governance practices, promote the equalization of primary health services, strengthen the cultivation of primary health governance talents, and drive innovation in health governance. This will provide scientific basis and recommendations to support the realization of the "Healthy China 2030".

Reference | Related Articles | Metrics
4. “健康海南”之健康产业、健康治理及卫生健康人才培养
袁玲, 陈林, 陈宁, 单侯乾, 王晨力, 叶云, 高雅, 谭硕源, 吴清昱, 侯宏攀, 程迪尔, 石建伟, 王朝昕
Chinese General Practice    2024, 27 (35): 4482-4492.   DOI: 10.12114/j.issn.1007-9572.2024.0306
Abstract741)   HTML11)    PDF(pc) (2503KB)(453)    Save

在"健康海南"建设背景下,本报告聚焦"十四五"中期海南省卫生健康发展现状与未来方向,分别探讨精神障碍治理、中医药健康产业、现代化卫生健康治理体系以及科技与人才支撑能力面临的挑战和发展机遇,并提出相应的策略与建议。首篇文章应对海南省高发的精神卫生问题,强调数字化治理平台在解决精神卫生问题和支持自贸港建设中的关键作用。第二篇详细分析了中医药在健康产业中的战略地位和发展瓶颈,建议充分利用海南省丰富的中医药资源,推动产业向高质量发展。第三篇从现代化治理角度出发,强调顶层设计和协同机制优化对提升治理效能的重要性。最后一篇聚焦于科技和人才支撑能力,通过SWOT分析提出了推动卫生健康事业跨越式发展的关键策略。综上,四个报告在逻辑上相互补充,形成了一个多维度、多层次的研究框架,全面展示了海南省在"健康海南"建设中的创新实践与未来展望。为政策制定者和决策者提供了重要的参考和指导,助力海南省在未来进一步提升健康水平和治理能力,实现卫生健康事业的跨越式发展。

Table and Figures | Reference | Related Articles | Metrics
5. Policy Document Analysis of China's Primary-level Public Health Governance System: a Case Study of the Public Health Committee
OU Xin, YANG Jia
Chinese General Practice    2023, 26 (19): 2346-2354.   DOI: 10.12114/j.issn.1007-9572.2022.0636
Abstract608)   HTML21)    PDF(pc) (1547KB)(1186)    Save
Background

In China, the governance of public health by the public health committee, a grassroots mass autonomous organization, is a new approach managing public health services in primary care. Many regions are exploring governance models of public health by the public health committee, aiming to make it a key hub to realize the vertical connection and horizontal linkage grid management of grassroots communities.

Objective

To analyze the policy documents related to the construction of local public health committees of various regions in China using policy document analysis, so as to provide a reference for improving the primary-level public health governance system and governance capacity.

Methods

In March 2022, we searched policy documents related to the construction of public health committees on the official websites of the local governments and health commissions of eight sample regions (Beijing, Guangdong, Chongqing, Shandong, Anhui, Guizhou, Gansu, and Ningxia Hui Autonomous Region) in which village (residential) public health committees have been constructed using "public health committee" as the key search term. Through literature review and policy document analysis, an analytical framework for the governance system of the public health committee was constructed. Nvivo 11 Plus was used for word frequency and coding analyses of the included policy literature.

Results

A total of 15 policy documents and 2 guidance manuals for the work of public health committees were ultimately included. Word frequency analysis showed that the five words, "hygiene" "public" "work" "committee" and "health", appeared most frequently, indicating that the selected policy literature conformed to the research theme. By using the analytical framework, the structural dimensions of the policy literature were determined, including four root nodes, namely, governance subjects, governance mechanisms, institutional guarantees, and capacity building, and 13 sub-nodes. There are 208 reference points for governance subjects, 48 reference points for governance mechanisms, 57 reference points for institutional guarantees, and 87 reference points for capacity building.

Conclusion

The local policy documents of the sample regions cover the contents of the four dimensions, but have different focuses. According to the framework in this study, further construction of the public health committee needs to set certain admission criteria with clear determination of rights and responsibilities for new committee members, establish an effective cooperation and communication mechanism, improve the system guarantee and provide financial and technical support.

Table and Figures | Reference | Related Articles | Metrics
6. Implementation Strategies of Community-based Proactive Care Management
LI Wanyu, JIN Hua, YU Dehua
Chinese General Practice    2022, 25 (31): 3928-3932.   DOI: 10.12114/j.issn.1007-9572.2022.0280
Abstract1021)   HTML44)    PDF(pc) (1924KB)(2873)    Save

To improve people's health via meeting their growing health needs, the "Healthy China 2030" Planning Outline highlights the concept of protective care, and actively promotes the transformation from disease-centered care to human-centered care. There is still no a standard proactive care system. We summarized the essence, development status and significance of proactive care, then based on this, explored implementation strategies and assessment system regarding proactive care management conducted by community health institutions and community medical workers. We believe that community health institutions and community medical workers play an important role in the implementation of proactive care, and improving people's awareness of proactive care and self-health management ability via integrating proactive care into health management is of great significance to improve the national health level.

Reference | Related Articles | Metrics
7.

Rural Physicians' Duties and Responsibilities in COVID-19 Pandemic Containmentan Empirical Study from the Perspective of Governance in Primary Care

XU Ting, LIU Lanqiu, LI Jin
Chinese General Practice    2022, 25 (11): 1387-1392.   DOI: 10.12114/j.issn.1007-9572.2022.0100
Abstract731)   HTML14)    PDF(pc) (1008KB)(565)    Save
Background

COVID-19 pandemic containment in rural areas is the frontline for containing COVID-19 and a key part of response system for public health emergencies in China, during which rural physicians play an important role as the "gatekeeper" of rural residents' health and rural pandemic prevention and control. However, rural physicians have demonstrated some work-related problems during the COVID-19 pandemic containment, which have affected the implementation effectiveness of their duties and responsibilities.

Objective

To investigate the duties and responsibilities of rural physicians during COVID-19 pandemic containment in rural areas, and to identify the problems, then put forward relevant suggestions.

Methods

An on-site semi-structured interview using non-participant observation approach was carried out in Beijing's Huairou District from April to July, 2021. Eighteen rural physicians were selected to attend the interview as stakeholders. The interview was guided by an outline developed based on a literature review and an expert consultation, including three parts: (1) demographic characteristics (practice location, sex, age) , (2) practicing qualifications (education level, starting time of practicing, professional qualifications) , (3) involvement in COVID-19 pandemic prevention and control (awareness of the 10 instructions for COVID-19 pandemic containment in village clinics, participation in COVID-19 pandemic containment, and personal protective equipment materials for COVID-19) . The interview was continued until data saturation.

Results

Among the 18 rural physicians, 14 (77.8%) were certified as rural physicians, 3 (16.7%) were certified as rural assistant general practitioners, 2 (11.1%) had a certificate of licensed physician and 1 (5.6%) had a certificate of licensed assistant physician. Except for one (5.6%) , the rural physicians〔17 (94.4%) 〕 indicated that they knew the 10 instructions for COVID-19 pandemic containment in the village clinic. The top three services about COVID-19 pandemic containment most frequently provided by the rural physicians were health education (94.4%) , information reporting (72.2%) and diagnosis and treatment (64.7%) , and the least provided was throat swab sampling〔only one case (5.6%) 〕. In addition, three rural physicians participated in providing other services, which included screening suspected COVID-19 cases in the village, guiding COVID-19 pandemic containment in the village, and purchasing food for villagers. Ten physicians (55.6%) indicated that personal protective equipment materials for COVID-19 were adequate, but other 8 (44.4%) expressed that such materials were inadequate during the first response phase. During the regular COVID-19 pandemic containment phase, 16 physicians (88.9%) indicated that personal protective equipment materials for COVID-19 were adequate, but other 2 (11.1%) still indicated that such materials were inadequate. The top four personal protective equipment materials for COVID-19 owned by the physicians in regular COVID-19 pandemic containment phase were 84 Disinfectant (72.2%) , ordinary disposable medical masks (66.7%) , disposable gloves (66.7%) and medical surgical masks (61.1%) , and the least owned were medical protective clothing (38.9%) and goggles (11.1%) .

Conclusion

Rural physicians play a necessary role in COVID-19 pandemic containment in rural areas, but the effectiveness of their services has been affected by limited personal capabilities in delivering COVID-19 pandemic containment services (including pharyngeal swab sampling) , lack of a legal right to provide home-based isolation and monitoring services, and inadequate personal protective equipment materials. Therefore, it is recommended that relevant laws and regulations should be improved to provide a legal right for rural physicians to perform their duties and responsibilities in COVID-19 pandemic containment, recruit them to the public health team of the village committee, and ensure the provision of emergency materials for village physicians to help them to realize their potential in pandemic containment.

Table and Figures | Reference | Related Articles | Metrics
8. From Medical Quality Assurance to Patient Safety:Concept Renewal and Policy Optimization of Medical Risk Management 
FENG Qian,FENG Lei,LI Luochang
Chinese General Practice    2019, 22 (31): 3805-3809.   DOI: 10.12114/j.issn.1007-9572.2019.00.194
Abstract486)      PDF(pc) (1031KB)(589)    Save
In the modern management of medical risk,the concept of patient safety and the related system have attracted increasing attention gradually.Compared with medical quality assurance,patient safety places greater emphasis on rights-oriented,ethical care,and social synergy,showing its unique value.In China,although the patient safety related system develops rapidly,there are still some problems,such as lack of special patient safety policies and regulations,an effective mechanism for addressing clinical ethical issues,and a sound physician-patient communication mechanism.Suggested enhancement strategies are given as follows:further strengthening the concept of patient safety,improving patient safety related policies and regulations,establishing the patient safety event reporting system and the doctor apology system,setting up patient safety organizations and databases,and optimizing policies about medical risk management.In this way,a win-win situation can be achieved for both doctors and patients.
Reference | Related Articles | Metrics
9. 基于多中心治理理论的视角探讨中国特色的健康社区治理模式
王睿,姜雯,申俊龙
Chinese General Practice    2018, 21 (5): 551-554.   DOI: 10.3969/j.issn.1007-9572.2018.05.011
Abstract366)      PDF(pc) (1321KB)(1762)    Save
健康社区是健康中国建设的基础,创新可持续发展的治理模式是建设健康社区的关键。我国于20世纪90年代开始兴起健康城市建设,2016年在“健康中国”的发展规划之下,健康社区成为健康城市建设的重点工程,但是健康社区建设过程当中存在诸多问题,主要是缺乏健康社区制度体系,导致其建设并没有达到预期效果。因此,针对健康社区建设过程中的问题,本文从多中心治理理论的视角进行了分析,提出从政府、社区、非政府组织三个主体协同进行健康社区治理制度设计,并结合中国独特的中医药医疗卫生资源利用问题提出建设中国特色的健康社区,形成中西医结合,充分发挥中医药的特色优势建设防治结合,预防为主的社区健康治理的制度体系。
Related Articles | Metrics
10. 我国基本药物制度实施失效节点的多级递阶结构与治理策略研究
周雪1,李雪梅2,孙涛3,张曦月4,时宇3,谢奉哲3,王景慧3,张淑娥5*
Chinese General Practice    2017, 20 (22): 2715-2719.   DOI: 10.3969/j.issn.1007-9572.2017.22.007
Abstract290)      PDF(pc) (915KB)(543)    Save
目的  构建我国基本药物制度实施失效节点的多级递阶结构模型,阐释各阶层的内在逻辑,从而为我国基本药物制度提供精准的治理策略。方法  于2017年1月,参考既往研究范式和文献,借助4名卫生政策领域专家头脑风暴,筛选出我国基本药物制度实施环节的失效节点;采用解释结构模型法(ISM)分析各节点的层级关系和传导环路。结果  共筛选出16个我国基本药物制度实施环节的失效节点,分别为:基本药物遴选目录;基本药物生产供应;基本药物采购配送;基本药物合理使用;基本药物价格管理;基本药物支付报销;基本药物质量安全;医生处方率;患者接受度;医院推行力度;监管体系;制度衔接;法律约束;筹资、补偿机制;激励机制;竞争环境。ISM分析结果显示,该16个失效节点存在1个四阶梯结构(分别命名为:输出终端、作业单元、协同联动、规则建设)和1条纵向传导环路;直接要素为医生处方率、患者接受度、医院推行力度,内隐要素为法律约束。我国基本药物制度实施受困于"规则建设缺失-协同机制失灵-作业实效欠佳-终端输出低效"四层环路的逐级影响。结论  我国基本药物制度需要协同型综合改革,治理策略包括:健全基本药物制度需立法先行,形成全品种、全过程完整追溯与监管链条;借助基本药物制度配套机制的联动效应,发挥基本药物制度作业单元的执行实效,提升基本药物制度在终端的输出效率。
Related Articles | Metrics
11. 我国社会办医发展中存在的问题及治理策略研究
峗怡
Chinese General Practice    2016, 19 (13): 1560-1564.   DOI: 10.3969/j.issn.1007-9572.2016.13.019
Abstract362)      PDF(pc) (709KB)(588)    Save
本文从政策文件梳理了我国政府对社会办医态度及政府治理策略的变迁,并分析了社会办医的发展态势及发展所遇到的障碍,主要体现在政府促进政策执行不力和监管不到位两方面。建议明确政府在社会办医治理的职能应重在监管,并探索加强与行业协会形成政社共治的监管模式,以期为社会办医资源治理提供新思路。
Related Articles | Metrics
12. Enhancing Rural Elderly Quality of Life through Livelihood Capital:A Study on the Governance Path of Multiple Chronic Diseases for Health Priority
REN Panpan, JIA Changli, JIA Jingjing, XU Jinglin, CHEN Mengyao, ZHANG Xiang
Chinese General Practice    DOI: 10.12114/j.issn.1007-9572.2024.0166
Accepted: 2024-06-19