我国卫生筹资制度建设进展及问题  

Progress and Challenges of China's Health Financing System

作　　者：王力男[1,2] 李芬[1,3] 张晓溪[1] 

机构地区：[1]上海市医学科学技术情报研究所上海市卫生发展研究中心,上海200040 [2]上海财经大学公共经济与管理学院,上海200433 [3]复旦大学公共卫生学院上海,上海200030

出　　处：《中国卫生经济》2017年第9期46-50,共5页Chinese Health Economics

基　　金：美国中华医学基金会卫生系统研究与政策转化合作项目(14-190);上海市第四轮公共卫生三年行动计划重点学科建设项目(15GWZK0901)

摘　　要：目的:分析我国卫生筹资制度建设进展及问题,提出政策建议。方法:对卫生筹资水平和结构、卫生投入方式和筹资机构职能进行定性和定量分析。结果:2009年新医改以来,我国卫生筹资制度建设取得一定进展,卫生筹资总额逐年提高、筹资结构优化、筹资模式明确、保障水平提高、投入机制细化、筹资机构职能相应调整,但仍存在一些问题,主要包括卫生筹资缺乏顶层设计、居民个人现金卫生支出占比高、公平性有待提高、最低保障和高层次需求保险发展程度不高等。结论:建议通过完善卫生资金筹集与管理模式,提高统筹层次和资金使用效率等进一步推进卫生筹资制度建设。Objective： To analyze the progress and challenges of China＇s health financing system, and raise some policy sugges- tions. Methods： Making qualitatively and quantitatively analysis of health financing level and structure, the mode of health inputs and the functions of funding agencies. Results： The development of the Chinese health financing system has made progress in certain as- pects since 2009 when the new phase of Chinese health system reform was initiated. The total volume of health financing has been in- creasing yearly; the structure of health financing has been optimized; financing pattern has been clarified; the financial security level has been improved; input mechanism has been refined; the function of financing institutions has been adjusted accordingly. However, there are still some challenges, including tack of top-down design of health financing, high residents＇ out-of-pocket expenses, inade- quate equity, lack of accompanying design fit for the need and demand of the poorest and the richest. Conclusion： h is suggested to improve the financing and management mode, raise the financing level of health insurance and optimize the efficiency of health flmds, so as to further promote the construction of health financing system..

关 键 词：卫生筹资 筹资模式 制度建设 

分 类 号：R197.1[医药卫生—卫生事业管理]