超大城市卫生设施专项规划研究:上海的探索

Research on Sector Planning of Health Care Facilities in Megacities: Exploration of Shanghai

金忠民
上海市城市规划设计研究院 副院长,教授级高级工程师

申 立
上海市城市规划设计研究院 高级工程师,博士

陆圆圆
上海市城市规划设计研究院 工程师,硕士

摘要: 编制卫生设施专项规划是应对超大城市居民健康安全问题的重要途径之一。以上海市为例,针对当前上海卫生设施面临 的设施规模与需求增长失配、资源供给结构不均衡、资源配置效率亟待提高、设施服务能级急需提升等问题,在借鉴英国、 日本、新加坡等卫生设施规划经验的基础上,提出卫生设施专项规划编制的若干思考。主要包括:理念更新,将医疗卫生视 为卓越全球城市的战略资源;关口前移,构建“防、治、养”三位一体的设施体系;重心下沉,强化各级卫生设施的空间统 筹与功能提升;系统整合,推动设施由“相互分立”向“高效协作”转变;高效治理,完善专项规划编制及做好空间落实 与常态监管等。

Abstract: Composing the specialized planning for health care facilities is one of the essential ways to deal with the residents' health problems in megacities. Taking current Shanghai health facilities for an example, it is found that we are facing problems such as the mismatch of facility scales with demand growth, the imbalance of resource supply structure, the inefficiency of resource allocation, and the incapacity of facility services. By learning from the experience of the United Kingdom, Japan, and Singapore, this paper puts forward several critical points for the compilation of the specialized planning for health care facilities, including (1) concept improvement, to take medical health as the strategic resource for an excellent global city; (2) take action in advance, to establish a "prevention, treatment, convalescence" facility system; (3) attach importance to basic facilities, to strengthen the spatial coordination and function improvement of health care facilities at all levels; (4) system integration, to promote the transformation of facilities from "separation" to "efficient cooperation"; (5) closed-loop management, to achieve the implementation and supervision of specialized planning.

关键词:超大城市;卫生设施专项规划;规划编制;上海

Keyword: megacity; sector planning of health care facilities; planning compilation; Shanghai

中图分类号:TU981

文献标识码: A

王兰,凯瑟琳•罗斯. 健康城市规划与评估:兴起与
趋势[J]. 国际城市规划,2016(4):1-3.
WANG Lan, ROSS C. Healthy city planning and
assessment: initiation and trend[J]. Urban Planning
International, 2016 (4): 1-3.
张昊,尹力. 创建健康城市:规划空间技术在公共健
康研究中的应用[J]. 上海城市规划,2017(3):57-
62.
ZHANG Hao, YIN Li. Building healthy cities: applying
spatial technology in the public health research[J].
Shanghai Urban Planning Review, 2017(3): 57-62.
王兰,廖舒文,赵晓菁. 健康城市规划路径与要素辨
析[J]. 国际城市规划,2016(4):4-9.
WANG Lan, LIAO Shuwen, ZHAO Xiaojing.
Exploration of approaches and factors of healthy city
planning[J]. Urban Planning International, 2016(4): 4-9.
刘子铭,邹郁. 健康城市视角下的滨海新区核心生
活区步行环境研究[C]//共享与品质——2018中国
城市规划年会论文集(08城市生态规划). 北京:
中国建筑工业出版社,2018:505-514.
LIU Ziming, ZOU Yu. Study on the walking environment
in the core living area of Binhai New Area from the
perspective of healthy city[C]//Sharing and Quality: 2018
Annual National Planning Conference. Beijing: China
Architecture & Building Press, 2018: 505-514.
张建,阮智杰. 区县级医疗卫生设施专项规划资源
配置策略研究[J]. 北京规划建设,2018(6):80-83.
ZHANG Jian, RUAN Zhijie. Research on resource
allocation strategy of special planning for district and
county level medical and health facilities[J]. Beijing
Planning Review, 2018(6): 80-83.
刘博. 特大城市郊区社区健康公共服务设施空间布
局的思考——以上海市金山区为例[J]. 上海城市规
划,2017(3):50-56.
LIU Bo. Research on the spatial identities of public
health service facilities in the suburban communities
of metropolises: a case study of Jinshan District in
Shanghai[J]. Shanghai Urban Planning Review, 2017(3):50-56.
郭永松. 国内外医疗保障制度的比较研究[J]. 医学
与哲学(人文社会医学版),2007(8):2-5.
GUO Yongsong. A comparative study on health security
systems between China and other countries[J]. Medicine
and Philosophy (Humanistic & Social Medicine Edition),
2007(8): 2-5.
顾海,鲁翔,左楠. 英国医保模式对我国医保制度的
启示与借鉴[J]. 世界经济与政治论坛,2007(5):
106-111.
GU Hai, LU Xiang, ZUO Nan. Enlightenment and
reference of British medical insurance model to China's
medical insurance system[J]. Forum of World Economics
& Politics, 2007(5): 106-111.
闫婧,黄国伟,张竞超,等. 国外社区卫生服务体系
研究及启示[J]. 中国全科医学,2010,13(25):
2853-2854.
YAN Jing, HUANG Guowei, ZHANG Jingchao, et al.
Analysis on community health service system abroad and
the enlightenment[J]. Chinese General Practice, 2010,
13(25): 2853-2854.
孟开. 从日本第四次医疗法的修改看医院病床分
类[J]. 国外医学(社会医学分册),2004(3):120-
126.
MENG Kai. Classification of hospital beds from the
revision of the fourth medical law of Japan[J]. Foreign
Medicine (Social Medicine), 2014(3): 120-126.
刘玥. 日本分级诊疗体系的经验及启示[J]. 新西部
(理论版),2016(15):169.
LIU Yue. Experience and enlightenment of Japan's
hierarchical diagnosis and treatment system[J]. New West
(Theoretical Edition), 2016(15): 169.
上海市卫生和计划生育委员会,上海市医药卫生发
展基金会,上海市卫生发展研究中心. 上海卫生政
策研究年度报告(2013)[M]. 北京:科学出版社,
2013:217-228.
Shanghai Municipal Commission of Health and Family
Planning, Shanghai Medical Development Foundation,
Shanghai Health Development Research Center. Annual
report of Shanghai health policy research (2013)[M].
Beijing: Science Press, 2013: 217-228.

微信扫一扫
关注“上海城市规划”
公众号