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The current status, challenges, and strategies for high-quality development of the public health system in China
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Huihui HUANGFU1, 2, 3, Qingyu ZHOU3, 4, Huayi ZHANG3, 4, Peiyu FENG3, 4, Peiwu SHI3, 5, Qunhong SHEN3, 6, Zhaoyang ZHANG3, 7, Zheng CHEN3, 8, Chuan PU3, 9, Lingzhong XU3, 10, Zhi HU3, 11, Anning MA3, 12, Zhaohui GONG3, 13, Tianqiang XU3, 14, Panshi WANG3, 15, Hua WANG3, 16, Chao HAO3, 17, Mo HAO3, 4, Chengyue LI3, 4
Chinese Journal of Public Health | 2025, 41(7) : 802 - 808
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Chinese Journal of Public Health | 2025, 41(7): 802-808
• Survey and Report •
The current status, challenges, and strategies for high-quality development of the public health system in China
Full
Huihui HUANGFU1, 2, 3, Qingyu ZHOU3, 4, Huayi ZHANG3, 4, Peiyu FENG3, 4, Peiwu SHI3, 5, Qunhong SHEN3, 6, Zhaoyang ZHANG3, 7, Zheng CHEN3, 8, Chuan PU3, 9, Lingzhong XU3, 10, Zhi HU3, 11, Anning MA3, 12, Zhaohui GONG3, 13, Tianqiang XU3, 14, Panshi WANG3, 15, Hua WANG3, 16, Chao HAO3, 17, Mo HAO3, 4, Chengyue LI3, 4
Affiliations
  • 1School of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing 210023, China
  • 2School of Aging Industry, Nanjing University of Chinese Medicine, Nanjing 210023, China
  • 3Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
  • 4Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
  • 5Zhejiang Academy of Medical Sciences, Hangzhou 310012, China
  • 6School of Public Policy and Management, Tsinghua University, Beijing 100084, China
  • 7Project Supervision Center of National Health Commission of the People’s Republic of China, Beijing 100044, China
  • 8Department of Grassroots Public Health Management Group, Public Health Management Branch of Chinese Preventive Medicine Association, Shanghai 201800, China
  • 9School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
  • 10School of Public Health, Shandong University, Jinan 250012, China
  • 11Anhui Medical University, Hefei 230032, China
  • 12Shandong Second Medical University, Weifang 261053, China
  • 13Committee on Medicine and Health of Central Committee of China ZHI GONG PARTY, Beijing 100011, China
  • 14Institute of Inspection and Supervision, Shanghai Municipal Health Commission, Shanghai 200031, China
  • 15Shanghai Municipal Health Commission, Shanghai 200031, China
  • 16Jiangsu Association of Integrative Medicine, Nanjing, Jiangsu 210009, China
  • 17Changzhou Center for Disease Control and Prevention, Changzhou, 213003, China
Published: 2025-07-10 doi: 10.11847/zgggws1146373
Outline
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Objective

To systematically evaluate the current status, strengths, and weaknesses of the high-quality development of China’s public health system, and to propose targeted suggestions for improving the system, providing a basis for promoting the high-quality development of health undertakings.

Methods

Policy documents, information reports, and research literature related to public health were collected and analyzed from 34 provincial-level administrative regions. Based on appropriate public health system evaluation criteria, the current status and development trends of high-quality public health systems in various regions were assessed. Strengths and weaknesses of the system were identified through standardized gap analysis.

Results

In 2023, the average score of China′s public health system was 657.26, reaching a moderately suitable level overall. From 2018 to 2023, the average score of the public health system increased by 11.49%, with progress made in areas such as health-priority environments, health literacy levels, organizational systems, monitoring capabilities, and joint prevention and control mechanisms. However, problems still exist, such as unbalanced regional development, a weak atmosphere of prevention-oriented approaches, inadequate staffing, unstable investment mechanisms, and weak scientific research innovation and translational application capabilities.

Conclusions

China′s public health system is improving year by year, but there are still many problems that need to be addressed urgently. In the future, clarifying the public health responsibilities and division of tasks among various departments should be the breakthrough point. It is recommended to establish a public health joint prevention and control working committee (or mechanism) at all levels of Party committees or governments to define the public health responsibilities and division of tasks of various departments, mobilize all parties to work together for improvement, and effectively promote the continuous development and improvement of China′s public health system.

public health system  /  high-quality development  /  breakthrough
皇甫慧慧, 周庆誉, 张华驿, 冯珮宇, 施培武, 沈群红, 张朝阳, 陈政, 蒲川, 徐凌忠, 胡志, 马安宁, 龚朝晖, 徐天强, 王磐石, 汪华, 郝超, 郝模, 李程跃. 我国公共卫生体系高质量发展的现状、挑战与策略. 中国公共卫生, 2025 , 41 (7) : 802 -808 . DOI: 10.11847/zgggws1146373
Huihui HUANGFU, Qingyu ZHOU, Huayi ZHANG, Peiyu FENG, Peiwu SHI, Qunhong SHEN, Zhaoyang ZHANG, Zheng CHEN, Chuan PU, Lingzhong XU, Zhi HU, Anning MA, Zhaohui GONG, Tianqiang XU, Panshi WANG, Hua WANG, Chao HAO, Mo HAO, Chengyue LI. The current status, challenges, and strategies for high-quality development of the public health system in China[J]. Chinese Journal of Public Health, 2025 , 41 (7) : 802 -808 . DOI: 10.11847/zgggws1146373
Year 2025 volume 41 Issue 7
77
35
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Article Info
doi: 10.11847/zgggws1146373
  • Receive Date:2024-11-22
  • Online Date:2026-10-25
  • Published:2025-07-10
Article Data
Affiliations
History
  • Received:2024-11-22
  • Revised:2025-03-03
  • Accepted:2025-05-10
Affiliations
    1School of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing 210023, China
    2School of Aging Industry, Nanjing University of Chinese Medicine, Nanjing 210023, China
    3Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
    4Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
    5Zhejiang Academy of Medical Sciences, Hangzhou 310012, China
    6School of Public Policy and Management, Tsinghua University, Beijing 100084, China
    7Project Supervision Center of National Health Commission of the People’s Republic of China, Beijing 100044, China
    8Department of Grassroots Public Health Management Group, Public Health Management Branch of Chinese Preventive Medicine Association, Shanghai 201800, China
    9School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    10School of Public Health, Shandong University, Jinan 250012, China
    11Anhui Medical University, Hefei 230032, China
    12Shandong Second Medical University, Weifang 261053, China
    13Committee on Medicine and Health of Central Committee of China ZHI GONG PARTY, Beijing 100011, China
    14Institute of Inspection and Supervision, Shanghai Municipal Health Commission, Shanghai 200031, China
    15Shanghai Municipal Health Commission, Shanghai 200031, China
    16Jiangsu Association of Integrative Medicine, Nanjing, Jiangsu 210009, China
    17Changzhou Center for Disease Control and Prevention, Changzhou, 213003, China

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LI Chengyue, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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