我国城乡卫生投入公平性的影响因素及其对策  

Influencing factors and countermeasures for the inequity between the urban and rural health investment in China

作　　者：冯占春[1] 侯泽蓉[1] 郑舒文[1] 代会侠[1] 时先锋[1] 

机构地区：[1]华中科技大学同济医学院,武汉430030

出　　处：《中华医院管理杂志》2006年第10期657-660,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(70573037)

摘　　要：从卫生筹资结构和财政体制角度分析了导致城乡卫生投入不公平的原因。卫生筹资过度依赖个人,各级政府财力不均,农村卫生发展主要靠县级财政,以及现有转移支付难以保障农村卫生投入。提出了强化政府作用、完善保障制度、合理划分各级政府的事权、增强中央政府在农村卫生筹资中的作用以及调整转移支付内部结构、增加专项补助和过渡期转移支付所占比重、改善城乡卫生投入公平性的建议。The paper analyzed the main causes of the inequity between the urban and rural health investment from the angle of health financing structure and public finance system. The reasons include that the health financing relies on individual excessively, the financial resources of government at different levels are inequality, the development of rural health mainly depends on the public finance of the counties, and the existing transfer payment system can hardly guarantee the rural health investment. According to those, we put forward some suggestions as follows： to strengthen the government function; to perfect guarantee systems; to reasonably compartmentalize the affairs and rights of the government at different levels; to strengthen the role of the central government in the rural health financing; to adjust the internal structure of the transfer payment system; to increase the proportion of the special subsidy and the transfer payment in transition period; and to improve the equity between the urban and rural health investment.

关 键 词：改善 财政投入 城乡卫生 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理]