摘要
"将健康融入所有政策"是健康中国建设的重要内容.芬兰和南澳大利亚在落实这一理念的过程中积累了很多经验,因此从愿景目标、运行模式、工作机制3 个方面,分析总结其实践与启示.研究发现,政府的理念认同与强有力的领导、治理问责体系的完善、伙伴信任关系的建立、证据的使用与评估,是其实践成功的关键因素.而如何进一步理顺中央和地方的关系、将健康公平置于中心位置、充分重视健康影响评估的作用、促进私立部门及公民社会的参与,是下一步工作的重点.考虑到我国目前还存在理念认识不足、体制机制不完善、支持基础不扎实等挑战,故提出明确健康的优先地位、发挥当前体制作用推动项目合作、开发完善工具以监督评估等建议.
Abstract
"Health in all policies"(HiAP)is an important part to promote Healthy China.Finland and South Australia have accumulated a lot of experience in the process of implementing this concept.This article aims to analyze and summarize the practice and implications of HiAP in Finland and South Australia from three aspects:vision and objectives,operating model and working mechanism.Overall,strong government leadership,sound governance and accountability systems,trust-based partnerships,and evidence-based evaluation are key factors of the success.How to further rationalize the relationship between the central and local governments,position health equity at the center,pay full attention to the role of health impact assessment,and promote the partici-pation of the private sectors and civil society are also priorities of next steps.Challenges remain for China to implement HiAP,in-cluding the lack of consensus,mechanism,as well as supports.Three recommendations are proposed:highlighting health as the priority,utilizing current mechanisms to implement programs,and developing tools for monitor and evaluation.
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