俄罗斯公共卫生支出: 绩效管理机制构建与改革路径选择  

Russian Public Health Expenditure:Performance Management and Reform Path

作　　者：童伟[1] 宁小花[2] Tong Wei;Ning Xiaohua

机构地区：[1]中央财经大学俄罗斯东欧中亚研究中心 [2]中央财经大学

出　　处：《俄罗斯东欧中亚研究》2021年第3期77-96,156,共21页Russian，East European & Central Asian Studies

基　　金：教育部国别区域研究课题“普京第四任期俄罗斯政治发展走向的财政经济支撑”(19GBQY072);教育部国别区域研究课题“俄罗斯应急管理体系研究”(2020-G26);教育部哲学社会科学研究重大课题攻关项目“中国经济发展新常态的内涵、特征及其演变逻辑研究”(15JZD011)阶段性成果

摘　　要：人力资源投入不足,医务人员数量奇缺,卫生防疫力量薄弱,医疗服务缺口巨大,初级医疗机构设备陈旧,医疗服务水平亟待提升,此类问题曾长期存在于俄罗斯公共卫生领域,部分问题至今依然突出。为此,俄罗斯一方面以国家战略助推公共卫生支出快速增长,另一方面改革公共卫生财政预算管理模式,通过规划预算的引入,改变预算编制本位,强化预算管理流程,完善绩效评价体系,使公共卫生资源配置效应得以改进,公共卫生支出更加直观、具象和高效,为有针对性地解决俄罗斯公共卫生领域存在的重点难点问题,促进全民医疗健康状况的普遍改进以及医疗卫生服务水平的全面提升构筑了通道与平台。There are some prominent problems in public health in Russia Today:insufficient investment in human resources,a great shortage of medical staff,weak health and epidemic prevention force,huge gap in medical services,obsolete equipment in primary medical institutions,and urgent need to improve the level of medical services.Therefore,on the one hand,Russia promotes the rapid growth of public health expenditure with its national strategy;on the other hand,it reforms the management mode of public health budget.Through the introduction of planning budget,changing the budgeting standard,strengthening the budget management process and improving the performance evaluation system,the allocation effect of public health resources can be improved,and the public health expenditure can be more intuitive,concrete and efficient.These reform measures have solved the key and difficult problems in the field of public health,and built a channel and platform for promoting the general improvement of the health status of the people and the comprehensive improvement of the level of medical and health services.

关 键 词：俄罗斯 规划预算 公共卫生 绩效管理 

分 类 号：R199[医药卫生—卫生事业管理]