Objective To learn the current capacity building of emergency response teams in Tianjin for the purpose of goals setting.Methods "Health Emergency Capacity Questionnaire" was issued to 89 secondary and above medical institutions and 19 CDCs in Tianjin.The form covered such items as basic institutional information, workforce makeup, emergency preparations, detection and early warning, emergency response, and summary/assessment.Data collected in the questionnaire were subject to descriptive and correlation analysis.Results Tianjin has scored an initial success in emergency medicine as evidenced in its emergency response mechanisms in place, elevated capacity in emergency medical rescue and disposal, and enhanced competence of emergency teams.Rooms of improvement however include insufficient professionalism and independence of health emergency, inadequate emergency commanding and decision making system functions, insufficient laboratory test capacity at district/county levels, and insufficient social involvement in health emergency.Conclusions Top-down design should be emphasized, health emergency response should be enhanced in terms of management and response planning system, while capacity building of the teams and long-term primary care emergency mechanism deserve higher attention.

目的探讨国外对流动人口实施的公共卫生管理模式，为完善与改进我国的流动人口公共卫生管理提供经验与启示。方法采用了综述和对比分析法。主要从人口流动概况、政策变化和政策主体与资源三个方面对国外流动人口公共卫生政策进行分析总结。结果政府要按需配置资源，建立完备的城市流动人口管理和服务计划并健全医疗保障及公共卫生服务体系，提高社会力量对公共卫生事业的参与度，建立流动人口信息系统。结论明确政府的责任和主导，完善流动人口的公共管理服务制度，健全流动人口的信息管理系统，调动社会保障资源和社区的参与。

<正>新医改实施方案鼓励社会力量参与兴办民营医疗机构,促进多元化办医格局的形成,但让民营医院真正成为我国医疗服务的重要补充仍任重而道远[1]。仅仅依靠政府举办的公立医疗机构已很难满足城乡居民不同层次和多样化需求。需要更多的民间资本注入医疗卫生服务领域,促进天津卫生服务体系的发展。