健康风险行为的公共财政治理  

Public Financial Governance of Risky Health Behaviors

作　　者：行伟波[1] 田坤 XING Weibo;TIAN Kun(School of International Trade and Economics,University of Intermational Business and Economics,100029;School of Economics,Bejing Technology and Business University,100048)

机构地区：[1]对外经济贸易大学国际经济贸易学院,北京100029 [2]北京工商大学经济学院,北京100048

出　　处：《财经智库》2023年第1期93-126,139,140,共36页Financial Minds

基　　金：国家自科基金面上项目“中国区域间市场整合研究:微观机制与外部效应”(71673044);国家自科基金重点项目“全球价值链视角下的国内区域分工与市场一体化研究”(71733003);北京工商大学青年教师科研启动基金资助项目(19008022195)。

摘　　要：“十四五”规划和2035远景纲要提出,坚持贯彻“健康中国”战略,完善国民健康促进政策。面对健康风险行为的威胁,国家健康治理体系的现代化需要公共财政治理的现代化。健康风险行为不但威胁着居民健康水平的提高,也抑制了社会发展进程的推进。中国现行公共财政政策在健康风险行为治理方面发挥了重要作用,卫生财政成为风险行为危害治理的有效措施,财政政策、税收政策和医疗卫生政策从不同角度发挥了平滑健康风险行为危害的政策效果。本文基于相关文献和财政实践对此展开跨学科探讨,总结当前治理政策的不足,并提出健康风险行为公共财政治理的对策建议。The 14th Five-year Plan and 2035 Long-term Outline propose to adhere to the strategy of"healthy China"and improve the national health promotion policy.Facing the threat of risky health behaviors,the national governance system needs the modernization of health financial governance.that are carried out by individuals and endanger their own or other people's health level.These behaviors not only threaten the improvement of residents'health level,but also inhibit the advancement of social development.China's current public finance policy has played an important role in the governance of risky health behavior.The continuous strengthening of China's health financial funds in public hospitals,primary medical institutions and social basic medical insurance funds have provided complete institutional support and sufficient financial guarantee to curb the potential harm of risky health behaviors.Health finance is an effective measure for the governance of risky behavior hazards.Fiscal policy,tax policy and medical policy have played an effect of smoothing the hazards of risky health behaviors from different angles.Based on the relevant literature and previous research,this paper makes an interdisciplinary discussion on and summarize the shoricomings of current governance policies,and puts forward relevant suggestions on public financial governance of risky health behaviors.Firstly,more attention should be paid to the health effect of public financial policy;secondly,the development of related upstream and downstream industries should be restrained;thirdly,risky behavior hazards should be known to all,with healthy lifestyles promoted;lastly,medical insurance reform should be carried out to reduce the occurrence of moral hazard.

关 键 词：卫生财政 健康风险行为 财政治理 

分 类 号：R197.1[医药卫生—卫生事业管理] F812[医药卫生—公共卫生与预防医学]