中国城市妇幼保健服务的普遍提供——社会保险制还是事业单位制?

The Generally Provides of Chinese City Woman and Child Health Care Service:Social Security System or Institution System

中国城市妇幼保健的水平较高。在中国的发达地区,民众对于高水平产科服务的需求也正在逐渐加大,妇幼保健中的一部分服务,正在走向市场化。妇幼保健不能被笼统地定位为"公共卫生服务",面向的某些群体的服务,毫无疑问属于"公共物品";而另外一些面向个体的大多数服务,如产前检查和住院分娩则纯属私人物品。为了推进"私人物品型"妇幼保健服务的普遍覆盖,政府完全可以通过具有强制性的社会保险方式来筹资,推动公立社会保险机构以恰当的方式为参保者购买这类服务。对于属于"公共物品"的妇幼保健服务,则可以通过建立事业单位的方式直接提供。

Generally speaking, China’s healthcare for women and children achievement is magnificent, some item target are among the best in the developing country. However, just like other social economy department’s situation, China healthcare for women and children’s development also presents serious city and countryside non-equalization. So, the government financial investment and its way of investment will relate to the trend of new health organizational reform and hence it has significant strategic significance. In the domain of mother and child healthcare, it is also not exceptional. The way that the government promotes the medical service organizational reform by supplied finance investment also has range pole’s significance in terms of the establishment of an entire public finance system in our country. Only by unifying the increase in governmental investment and the reform of the advancement of the mechanism of purchasing health service so as to achieve both 'makes up the consumer' and 'makes up the supplier' can advance the urban area mother and child healthcare work in a balanced way.