政府卫生支出的中外比较研究

Government expenditure on health in China and other countries:a comparative study

目的:比较中外政府卫生支出的差异,并探讨卫生筹资相关政策及卫生总费用统计报告等问题。方法:采用文献综述方法获取国外部分国家卫生总费用中的政府卫生支出数据,采用描述性统计方法进行中外对比分析。结果:中国政府预算卫生支出和广义政府卫生支出占卫生总费用的比例均低于中低收入发展中国家的平均水平。结论:不同卫生体制的模式决定政府卫生支出的水平。国际上一般使用广义政府卫生支出进行跨国比较。建议尽快按照世界卫生组织(WHO)或者经济合作发展组织(OECD)要求,调整中国卫生总费用的报告口径。文章还对增加政府卫生投入的重点方向进行了探讨。

Objectives: To compare the difference in government expenditure on health between China and other countries and discuss the related health financing policies as well as the statistic data system of National Health Expenditures in China.Methodologies: Literature review method was used to collect the domestic and international data on government expenditure on health and descriptive statistics approach was employed to compare the national health expenditures(NHE).Results: The ratio of government budgetary expenditure on health to NHE in China was lower than lower-middle income countries and the same situation was applied to the ratio of general government expenditure on health to NHE.Conclusions: The ratio of government expenditure on health is determined by the structure of health system.The generalized government expenditure on health is widely used in cross-country comparative studies.The policy recommendation is made that China should adopt WHO or OECD rules in computation and reporting NHE.In addition,the prioritized areas for government budgetary expenditure on health were also discussed in the paper.