论卫生费用控制策略

Talk about the Tactics of Health Expenditure Control

在一定的经济发展阶段,卫生部门能够得到的经济资源是有限的,因而卫生体制能否成功地运行下去,取决于卫生费用(即货币度量的卫生资源消耗)能否保持在国力可以承受的范围之内。可以说,卫生体制所要解决的关键问题在于合理配置卫生资源,即以最低的成本提供尽可能多的高质量的卫生保健服务。如果不能有效地控制卫生费用,卫生保健可能成为国民经济的沉重负担,最终影响到卫生事业的发展和人民健康保障。

According to national and international experiences, the tactics of health expenditure control have three major respects, that is, provide, demand, and management. The providing tactics include three contents: One is that rational economical incentive mechanism can raise the efficiency of medical sectors on the micro -level; two is that regional health peogramme can limil the excessive expansion of health system, adjust rationally the distribution of health resources in areas and populations three are the polices of medical and medicine prices. Demand policies include : users pay part of medical expenses; the compensation ranges of medical insurance are stipulated clearly; the transferring patients; system among hospitals should strengthen to restrict health expenditures. The tactics of management are mainly unified administrative organization, the rigorous financeal affair's system of hospitals, and the mechanism of competiton and insisting prevention first.