流动人口的卫生与健康往往是发达城市和地区卫生服务的重要短板。通过妇幼保健领域相关数据和材料分析发现,相比于户籍人口和其他省市,北京市流动人口卫生基本公共服务存在明显的“二元结构”,即以人群自身健康为目的、以日常服务管理为方式的社区卫生公共服务未得根本强化,而以公共防疫和社会安全为目的,以动员式、运动式集中执行为方式的“强化免疫补种”作为重要模式日益固化。这种“二元结构”与“为人民群众提供全生命周期的卫生与健康服务”“建设健康中国的首善之区”等今后北京卫生与健康工作愿景明显不协调,应该从转换基本工作模式的战略高度,通过转变工作思维、改变资源分配方式和考核激励制度等,强化社区性的卫生公共服务,打破“二元结构”。
<<An analysis of relevant data and materials from the area of women and children health care shows that,compared to registered population and populations of other provinces and municipalities under direct jurisdiction of the Central Government,the floating population is provided with Basic Public Health Services characterized by a “dual structure”,that is,the community-based public health care that is aimed at the health of the floating population and managed as daily service has not been fundamentally consolidated,while “strengthening the makeup vaccination” which is implemented in the manner of mobilization or campaign as an important modality has been increasingly solidified. The dual structure is noticeably inconsistent with the envision of the hygiene and health work in Beijing. The dual structure should be dismantled from the strategic perspective of transforming basic working mode,by changing thinking,shifting the way of resource allocation and reforming the system of appraisal and stimulation.
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