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status, Psychosocial factors 雇傭和職業(yè) ,教育 ,社會經(jīng)濟狀況 ,社會心理因素 ? Natural and built environment 自然和人為環(huán)境 ? Public amp。 health care services 衛(wèi)生服務(wù) ? Social, economic, cultural amp。 environmental policies 社會 ,經(jīng)濟 ,文化和環(huán)境政策 12 Key Components to Monitor Health Status 監(jiān)測衛(wèi)生現(xiàn)狀的關(guān)鍵指標(biāo) ? death certificates if detailed amp。 accurate 死亡登記 (詳細(xì) ,準(zhǔn)確 ) ? immunization registries 免疫接種登記 ? large population surveys 大人群調(diào)查 ? health interview amp。 exam studies 健康訪談和體檢研究 ? required reporting of key infectious diseases ? 主要傳染性疾病法定報告制度 ? proxy measures: infant mortality, average lifespan ? 替代指標(biāo) :嬰兒死亡率 ,平均壽命 ? integration across districts, providers, diseases ? 地區(qū) ,來源 ,疾病數(shù)據(jù)的整合 ? electronic records: secure, simple, standard variables, updated regularly, well staffed ? 電子記錄 :安全 ,簡單 ,標(biāo)準(zhǔn)變量 ,經(jīng)常更新 ,裝備先進 13 Assessment Remendations 評價建議 Develop National Health Information Infrastructure 建立國家衛(wèi)生信息基礎(chǔ)設(shè)施 Regularly assess the state of the nation’s public health system and its capacity to provide the essential public health services to every munity 常規(guī)評價全國公共衛(wèi)生系統(tǒng)的現(xiàn)狀和為社區(qū)提供基本公共衛(wèi)生服務(wù)的能力 Evaluate the status of the nation39。s public health laboratory system performance 評價全國公共衛(wèi)生實驗室系統(tǒng)的運行狀況 14 Step Two 第二步 1. Develop a Community Health Improvement Plan 制定社區(qū)健康改善計劃 ? National, 國家級 ? Provincial 省級 ? Local 地方 2. Develop Communication Links Between All Partners 在各合作方間建立交流機制 15 Policy Development 政策發(fā)展 ? For problems that affect large population segments ? 針對影響最大人群的問題 ? For problems with roots in environment or institutions or businesses 針對環(huán)境 ,體制或商業(yè)的根本 ? Focus more on improving munity wide conditions, services and practices. 重點在提高廣泛社區(qū)的狀況 ,服務(wù)和實踐 ? Can be used to create a more prehens