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热词推荐: 能源基础设施

巴西公共卫生体系在抗击新冠肺炎疫情中的作用与不足

文章摘要

巴西在应对突发公共卫生事件方面具有较为完善的机制和丰富的经验,建立了由国家卫生监督局、国家流行病学研究机构和统一医疗体系组成的“三位一体”的公共卫生体系。其中,统一医疗体系承担了巴西公共卫生医疗服务,全国各地的公立医院、慈善医院、社区诊所及通过合同而加盟的私营医院都被纳入这一体系,为全民提供免费的卫生医疗服务。自2020年2月新冠肺炎疫情在巴西暴发以来,统一医疗体系作为巴西公共卫生医疗领域的“国家队”,充分发挥其优势,在预防新冠肺炎传播、救治新冠肺炎病人、接种新冠疫苗方面发挥了骨干作用,为巴西应对这场史上最大规模的公共卫生危机作出了突出贡献。与此同时,新冠肺炎疫情肆虐也暴露出现行公共卫生医疗体系尚不完备,存在资源分配使用不合理、资金和医护人员不足、应急设施和应急物资供应短缺等问题。疫情之后,以统一医疗体系为骨干的公共卫生医疗事业将再次受到重视,进而通过进一步增强应对突发公共卫生事件的能力,在今后的防疫和抗疫斗争中发挥更大的作用。

Abstract

Brazil has a relatively perfect mechanism and rich experience in responding to public health emergencies,and has established a “Trinity” public health system composed of the National Health Supervision Bureau,the national epidemiological research institution and the unified medical system (SUS). Among them,the unified medical system undertakes public health and medical services in Brazil. Public hospitals,charity hospitals,community clinics and private hospitals joined through contracts all over the country are included in this system to provide free health and medical services for the whole people. Novel coronavirus pneumonia has novel coronavirus pneumonia since novel coronavirus pneumonia was launched in Brazil since the end of February 2020. The unified medical system has been playing a leading role in the prevention of the spread of new crown pneumonia,the treatment of new crown pneumonia patients and the vaccination of new crown pneumonia,and has made outstanding contributions to Brazil’ s response to the largest public health crisis in the history of COVID-19,as a “national team” in Brazil’ s public health medical field. At the same time,the outbreak of COVID-19 also revealed that the public health care system is not complete. There are problems such as unreasonable allocation of resources,shortage of funds and medical personnel,shortage of emergency facilities and emergency supplies. After the epidemic,the public health and medical undertakings with the unified medical system as the backbone will be paid more attention again. By further enhancing the ability to deal with public health emergencies,we can play a greater role in the future epidemic prevention and anti-epidemic struggle.

作者简介
吴志华:吴志华,《人民日报》国际部高级记者,《人民日报》驻巴西分社原首席记者。