It is increasingly found that medical investment is not the only effective means to improve the national health level. The basic public health service, which is dominated by disease control and prevention, is paid mor...It is increasingly found that medical investment is not the only effective means to improve the national health level. The basic public health service, which is dominated by disease control and prevention, is paid more and more attention.This paper analyzes the relationship between the migrant population and the population of the city＇s household registration to the basic public health service. Access to basic public health services and satisfaction of the system, analysis of the factors affecting the satisfaction of the basic public health services in Shanghai revealed the problems and causes of development. Finally, putting forward the concrete countermeasures and suggestions for perfecting and improving the basic public health service in Shanghai.展开更多
Income distribution is central to ensuring and improving the people's wellbeing as it affects a range of areas spanning employment expansion and wage growth in primary distribution,social security and basic public...Income distribution is central to ensuring and improving the people's wellbeing as it affects a range of areas spanning employment expansion and wage growth in primary distribution,social security and basic public service provision in redistribution,and public interest activities and charities in tertiary distribution.The income distribution system is the foundational institution for the promotion of common prosperity for all.展开更多
Since its implementation in 2009,the National Basic Public Health Service Programme(hereinafter referred to as NBPHSP)has expanded its service scope from the initial nine categories to encompass diverse domains includ...Since its implementation in 2009,the National Basic Public Health Service Programme(hereinafter referred to as NBPHSP)has expanded its service scope from the initial nine categories to encompass diverse domains including chronic disease management,health services for key populations,and major disease prevention and control.It now covers 94.9%of healthcare institutions nationwide.Consequently,China has witnessed a sustained decline in maternal mortality and premature mor-tality from major chronic diseases,alongside a marked improvement in residents’health literacy and ongoing progress in urban-rural health equity.Nevertheless,primary healthcare institutions-the core implementers of the NBPHSP-still grapple with multiple challenges:role deviation among public health personnel,misaligned performance evaluation metrics,inadequate data utilisation ca-pabilities,and unclear pathways for integrating medical and preventive services.This paper employs policy text analysis,case dissection,and systematic review methodologies to systematically trace the development trajectory and implementation outcomes of the NBPHSP.It conducts an in-depth analysis of existing challenges and proposes breakthrough pathways including health-outcome ori-ented performance evaluation,empowering public health practitioners with clear responsibilities,data-driven decision-making,innovative mechanisms for integrating medical and preventive ser-vices,and building proactive public health capabilities.These recommendations provide policy guidance for advancing the programme’s high-quality development and facilitating a shift from”emphasising scale coverage”to”prioritising quality outcomes”.展开更多
The recent inclusion of chronic obstructive pulmonary disease(COPD)in China’s national basic public health services(NBPHS)represents a historic milestone—marking the first time a chronic respiratory disease has been...The recent inclusion of chronic obstructive pulmonary disease(COPD)in China’s national basic public health services(NBPHS)represents a historic milestone—marking the first time a chronic respiratory disease has been incorporated into this programme.This article examines the medical and socio-economic significance of integrating COPD management into the NBPHS,evaluates current efforts to address the disease burden,and discusses their alignment with broader health objectives outlined in Healthy China 2030.展开更多
Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major...Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major aspects of targeted poverty alleviation through industrial development, development of special rural areas, and equalization of urban and rural infrastructure and basic public services. In addition, the important experience of multi-agent participation, multi-mode guidance, and multi-line promotion has been accumulated in the individual, regional and urbanrural dimensions. However, there remain some deficiencies, such as low policy efficiency, poor matching ability, and prominent structural problems. At the beginning of the 14th Five-Year Plan (2021–2025), the task of enriching farmers through sharing has been faced with many challenges, such as major changes in the focus of poverty governance, greater numbers of restraints on the development of special rural areas, and heavy responsibilities of equalizing urban and rural infrastructure and basic public services. Therefore, it is necessary to acquire a profound understanding of the new development concept, and to continuously enrich farmers through sharing in terms of accelerating the improvement of the institutionalized poverty reduction system in the new era, actively building a green development system of agriculture and animal husbandry in special rural areas, and striving to create a fair and complementary urban and rural infrastructure and basic public service system.展开更多
During rapid urbanization, megacities see disparities in the spatial distribution of basic public service facilities and the urban built environment. Current research on basic public service facilities focuses on equa...During rapid urbanization, megacities see disparities in the spatial distribution of basic public service facilities and the urban built environment. Current research on basic public service facilities focuses on equal spatial distribution, leading to the overlook of their match with the surrounding built environment. Based on a case study on education, healthcare, and elderly care facilities in Chengdu central urban area, this paper analyzes the spatial distribution of these facilities and the built environment, and examines their spatial matching degree using a bivariate spatial autocorrelation model. The findings reveal the following insights: firstly, education and healthcare facilities present a “one core and multi-center” spatial distribution pattern, with the city center serving as the core and suburban subdistricts acting as the multiple centers, while elderly care facilities present a core-edge distribution pattern in contrast;secondly, the built environment presents a core-edge radial distribution pattern, with the city center acting as the nucleus that connects suburban subdistricts;thirdly, the spatial matching degree between the facilities and the urban built environment from the city center outwards is characterized by high, low, medium, and high levels. Notably, a significant spatial mismatch is observed in urban-rural transitional zones. In light of these findings, the paper comes to a conclusion that during urbanization, the efforts to equalize basic public service facilities in the urban-rural transitional zones may lead to spatial mismatches, to which urban planners and managers should pay close attention.展开更多
文摘It is increasingly found that medical investment is not the only effective means to improve the national health level. The basic public health service, which is dominated by disease control and prevention, is paid more and more attention.This paper analyzes the relationship between the migrant population and the population of the city＇s household registration to the basic public health service. Access to basic public health services and satisfaction of the system, analysis of the factors affecting the satisfaction of the basic public health services in Shanghai revealed the problems and causes of development. Finally, putting forward the concrete countermeasures and suggestions for perfecting and improving the basic public health service in Shanghai.
文摘Income distribution is central to ensuring and improving the people's wellbeing as it affects a range of areas spanning employment expansion and wage growth in primary distribution,social security and basic public service provision in redistribution,and public interest activities and charities in tertiary distribution.The income distribution system is the foundational institution for the promotion of common prosperity for all.
文摘Since its implementation in 2009,the National Basic Public Health Service Programme(hereinafter referred to as NBPHSP)has expanded its service scope from the initial nine categories to encompass diverse domains including chronic disease management,health services for key populations,and major disease prevention and control.It now covers 94.9%of healthcare institutions nationwide.Consequently,China has witnessed a sustained decline in maternal mortality and premature mor-tality from major chronic diseases,alongside a marked improvement in residents’health literacy and ongoing progress in urban-rural health equity.Nevertheless,primary healthcare institutions-the core implementers of the NBPHSP-still grapple with multiple challenges:role deviation among public health personnel,misaligned performance evaluation metrics,inadequate data utilisation ca-pabilities,and unclear pathways for integrating medical and preventive services.This paper employs policy text analysis,case dissection,and systematic review methodologies to systematically trace the development trajectory and implementation outcomes of the NBPHSP.It conducts an in-depth analysis of existing challenges and proposes breakthrough pathways including health-outcome ori-ented performance evaluation,empowering public health practitioners with clear responsibilities,data-driven decision-making,innovative mechanisms for integrating medical and preventive ser-vices,and building proactive public health capabilities.These recommendations provide policy guidance for advancing the programme’s high-quality development and facilitating a shift from”emphasising scale coverage”to”prioritising quality outcomes”.
基金Supported by the Noncommunicable Chronic Diseases-National Science and Technology Major Project(grant number 2023ZD0506003).
文摘The recent inclusion of chronic obstructive pulmonary disease(COPD)in China’s national basic public health services(NBPHS)represents a historic milestone—marking the first time a chronic respiratory disease has been incorporated into this programme.This article examines the medical and socio-economic significance of integrating COPD management into the NBPHS,evaluates current efforts to address the disease burden,and discusses their alignment with broader health objectives outlined in Healthy China 2030.
基金This article is supported by the“Special Fund Projects for the Construction of World-Class Universities(Disciplines)Characteristic Development Guidance in Central Universities"(No.15XNL004)of Renmin University of ChinaNational Natural Science Foundation of China(No.72073135&No.71773134).
文摘Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major aspects of targeted poverty alleviation through industrial development, development of special rural areas, and equalization of urban and rural infrastructure and basic public services. In addition, the important experience of multi-agent participation, multi-mode guidance, and multi-line promotion has been accumulated in the individual, regional and urbanrural dimensions. However, there remain some deficiencies, such as low policy efficiency, poor matching ability, and prominent structural problems. At the beginning of the 14th Five-Year Plan (2021–2025), the task of enriching farmers through sharing has been faced with many challenges, such as major changes in the focus of poverty governance, greater numbers of restraints on the development of special rural areas, and heavy responsibilities of equalizing urban and rural infrastructure and basic public services. Therefore, it is necessary to acquire a profound understanding of the new development concept, and to continuously enrich farmers through sharing in terms of accelerating the improvement of the institutionalized poverty reduction system in the new era, actively building a green development system of agriculture and animal husbandry in special rural areas, and striving to create a fair and complementary urban and rural infrastructure and basic public service system.
文摘During rapid urbanization, megacities see disparities in the spatial distribution of basic public service facilities and the urban built environment. Current research on basic public service facilities focuses on equal spatial distribution, leading to the overlook of their match with the surrounding built environment. Based on a case study on education, healthcare, and elderly care facilities in Chengdu central urban area, this paper analyzes the spatial distribution of these facilities and the built environment, and examines their spatial matching degree using a bivariate spatial autocorrelation model. The findings reveal the following insights: firstly, education and healthcare facilities present a “one core and multi-center” spatial distribution pattern, with the city center serving as the core and suburban subdistricts acting as the multiple centers, while elderly care facilities present a core-edge distribution pattern in contrast;secondly, the built environment presents a core-edge radial distribution pattern, with the city center acting as the nucleus that connects suburban subdistricts;thirdly, the spatial matching degree between the facilities and the urban built environment from the city center outwards is characterized by high, low, medium, and high levels. Notably, a significant spatial mismatch is observed in urban-rural transitional zones. In light of these findings, the paper comes to a conclusion that during urbanization, the efforts to equalize basic public service facilities in the urban-rural transitional zones may lead to spatial mismatches, to which urban planners and managers should pay close attention.
