加拿大儿童健康蓝图《Start Strong》发布：呼吁十年投入100亿加元设国家儿童健康转移支付
加拿大儿童医疗协会（Children's Healthcare Canada，CHC）11月3日在首都 Ottawa 发布国家政策蓝图《Start Strong：为健康、有活力的儿童与青少年制定行动手册》，呼吁联邦、省与地区政府共同改革加拿大为儿童、青少年和家庭设计与提供医疗服务的方式。这份蓝图以2026年在全国开展的广泛咨询为基础，汇集了医疗系统负责人、研究者、临床医生、政策制定者和家庭的意见，对象是加拿大的860万儿童。
CHC 会长兼首席执行官 Emily Gruenwoldt 表示，没有健康、有活力的儿童与青少年，就没有强大的加拿大；《Start Strong》是向联邦、省与地区决策者、医疗服务提供者和慈善伙伴发出的邀请，共同建设一个真正适合孩子的未来。
蓝图提出五项改革原则：全周期医疗服务的公平可及、着眼终身健康、支持照护儿童与家庭的专业队伍、强大的数据与学习系统，以及整合的研究议程，并针对各级政府分别提出具体建议。
在联邦层面，CHC 呼吁制定涵盖健康、医疗、教育与家庭服务的国家儿童与青少年战略，并设立一项专款专用的国家儿童健康转移支付，十年投入100亿加元，通过与各省和地区签署双边协议的方式拨付。在省与地区层面，蓝图建议改革以诊断为导向的拨款模式，减少卫生、教育与儿童家庭服务部门之间的壁垒，并扩大以社区为基础的儿科服务，降低对医院的过度依赖。
CHC 指出，加拿大是世界上最富裕的国家之一，但儿童与青少年的健康与福祉指标却逐年下滑；儿童的需求日趋复杂，人群高度多元，神经发育状况、心理健康挑战和慢性疾病的发生率不断上升。儿童若在恰当时机得不到恰当照护，后果会延伸到健康之外，影响其教育、心理健康、终身社会参与和整个家庭的福祉。蓝图援引德勤为 CHC 与加拿大儿童医院基金会所作的《Thrive》研究指出，儿童医疗每投入1加元，可通过改善健康结果、减少家庭与医疗系统成本和提升未来劳动力生产力，产生最高5倍的回报。协会呼吁各级政府、议员、医疗界领袖和社区以《Start Strong》为路线图，把儿童健康列为国家优先事项。
（来源：加拿大儿童医疗协会）
Children's Healthcare Canada Releases Start Strong Playbook: Calls for C$10 Billion National Child Health Transfer Over 10 Years
Children's Healthcare Canada (CHC) released a national policy playbook, Start Strong: Developing the Playbook for Healthy, Vibrant Children and Youth, in Ottawa on November 3, calling on federal, provincial and territorial governments to work together to transform how Canada designs and delivers healthcare for children, youth and families. The report is grounded in a comprehensive national consultation process conducted in 2026, drawing on perspectives from health system leaders, researchers, clinicians, policymakers and families, and addresses the needs of Canada's 8.6 million children.
Emily Gruenwoldt, president and CEO of Children's Healthcare Canada, said there is no Canada Strong without healthy, vibrant children and youth, and that Start Strong is an invitation to federal, provincial and territorial decision-makers, healthcare providers and philanthropic partners to join in building a future fit for kids in Canada.
Start Strong outlines five principles for reform: equitable access to healthcare services across the continuum of care, a focus on lifelong health, supporting the specialized workforce that cares for kids and families, strong data and learning systems, and an integrated research agenda, with targeted recommendations for every level of government.
At the federal level, CHC calls for a National Strategy for Children and Youth across health, healthcare, education and family services, along with a National Child Health Transfer, a dedicated, ring-fenced funding stream of C$10 billion over ten years, administered through bilateral agreements with provinces and territories. For provincial and territorial governments, the playbook recommends shifting funding models away from diagnosis-driven structures, reducing silos between ministries of health, education and children and family services, and expanding community-based pediatric services to reduce over-reliance on hospitals.
CHC notes that Canada is one of the wealthiest nations in the world, yet the health and wellbeing outcomes of its children and youth are declining year over year, with increasingly complex needs, rising rates of neurodevelopmental conditions, mental health challenges and chronic illness within a highly diverse population. When children do not receive the right care at the right time, CHC says, the consequences extend beyond health to education, mental health, lifelong social participation and family wellbeing. The playbook cites Thrive: The Economic Case for Investing in Children's Health, conducted by Deloitte for CHC and Canada's Children's Hospital Foundations, which found that every dollar invested in children's healthcare generates up to a five-fold return through improved health outcomes, reduced costs to families and health systems, and future workforce productivity. The association called on governments at every level, parliamentarians, healthcare leaders and communities to use Start Strong as their roadmap and make children's health a national priority.
(Source: Children's Healthcare Canada)
来源：加拿大儿童医疗协会
发布：GSM·美国（发布链接）
图片来源：加拿大国会中心大楼（Centre Block），位于 Ottawa（DXR 摄，CC BY-SA 4.0，经 Wikimedia Commons）
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