The Construction of a Public Health System in Chengdu--From the Point of View of Evidence-based Medicine_Chinese Journal of Evidence-Based Medicine

Authors：

DENG Shaolin ¹ , SUN Ding ² , LI Youping ³⁴ , TAO Tiejun ² , LIU Xiehe ¹ , SUN Xueli ¹ , TIAN Haoming ¹ , ZHOU Qinghua ¹ , LIU Ming ¹ , ZHAO Liansan ¹ , HE Qing ¹ , LI Jing ² , LIU Chuntao ¹

1. West China Hospital of Sichuan University; Chengdu 610041; China2. Chinese Evidence-Based Medicine Center; Chengdu 610041; China3. Key Lab. of Transplant Engineering and Immunology of MOH; West China Hospital of Sichuan University;Chengdu 610041; China;

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Keywords：

Municipal public health system; Evidence-based medicine; Health management

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Objective 　To provide evidence for the construction of municipal public health system in Chengdu based on the existing problems.
Method 　Using the priniple and method of evidence-based medicine, epicemiology and health care management, and the data searching, extraction and envaluation to analyse the current situation and problems of Chengdu’s public health system. also referring such research results from home and abroad with the hope of resolving such problems and make suggestions as to how to deal with this.
Results 　There is a few literatures on the municipal public health system. The insufficient financial support, hardware and software condition deteriorated the serious situation of public health in Chengdu.
Conclusions 　It is suggested that we should establish a managing committee of the public health system of Chengdu, make comprehensive plan to set up 6 professional centers, fund the research on main diseases and key techniques, increase financial appropriations by improving financing mechanism and establish a center for education and staff training.

Citation： DENG Shaolin,SUN Ding,LI Youping,TAO Tiejun,LIU Xiehe,SUN Xueli,TIAN Haoming,ZHOU Qinghua,LIU Ming,ZHAO Liansan,HE Qing,LI Jing,LIU Chuntao. The Construction of a Public Health System in Chengdu--From the Point of View of Evidence-based Medicine. Chinese Journal of Evidence-Based Medicine, 2004, 04(3): 187-193. doi: Copy

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1. ［1］Eight difficult points in Beijing’ s public health system construction [ EB/OL]. Available from URL: http ://news. sina.com. cn/c/2004-02-17/02301817123s. shtml.
2. 北京市人大会议开幕,王岐山坦陈八大难题[EB/OL].来自URL:http//news.sina.com cn/c/2004-02-17/02301817123s.shtml.
3. ［2］Dobbins M, Cockerill R, BarnsleyJ, Ciliska D. Factors of the innovation, organization, environment, and individual that predict the influence five systematic reviews had on public health decisions[J]. Int J Technol Assess Health Care, 2001;17(4): 467-478.
4. ［3］APHA calls for increases in funding for the nation’ s public health system[J]. Public Health Rep. , 2003: 118(5): 480.
5. ［4］Heame SA, Segal LM. Leveraging the nation’s anti-bioterrotism investments: foundation efforts to ensure a revitalized public health system[J]. Health Aff (Millwood), 2003; 22(4): 230-234.
6. ［5］Mokdad AH, Bales VS, Greenlund KJ, Mensah GA. Public health surveillance for disease prevention: lessons from the behavioral risk factor surveillance system[J]. Ethn Dis. , 2003;13(2 Suppl 2) :S19-23.
7. ［6］National Electronic Disease Surveillance System Working Group.National Electronic Disease Surveillance System (NEDSS): a standards-based approach to connect public health and clinical medicine[J ]. J Public Health Manag Pract., 2001; 7 (6): 43-50.
8. ［7］Huang JF. Health Care System R eform in China after SAR S:A View of Evidence-Based Medicine [J ]. Chinese J Evidencebased Medicine,2003; 3 ( 3 ): 169-170 & 2004; 4 ( 1 ): 1-2.
9. 黄洁夫.SARS过后看循证医学与医疗卫生改革[J].中国循证医学杂志,2003;3(3):169-170和2004;4(1):1-2.
10. ［8］Kennedy VC. A study of local public health system performance in Texas [J ]. J Public Health Manag Pract. , 2003; 9(3):183-187.
11. ［9］Pordeus AM, Fraga Mde N, Faco Tde P. Measures developed by the public health system to prevent accidents and violence in children and adolescents in Fortaleza, Ceara, Brazil [ J ] . Cad Saude Publica. ,2003; 19(4) :1201-1204.
12. ［10］Handler A, Issel M, Tumock B. A conceptual framework to measure performance of the public health system[J]. Am J Public Health. , 2001; 91(8): 1235-1239.
13. ［11］O’ Hara JA 3rd. West Nile vires: success of public health response underlines fafiure of the system[J]. J Urban Health. , 2001; 78(2): 392-395.

Chinese Journal of Evidence-Based Medicine

The Construction of a Public Health System in Chengdu--From the Point of View of Evidence-based Medicine

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