我国公共卫生支出问题研究

Study on Public Health Expenditure of China

我国公共卫生支出规模小,导致居民个人和家庭健康负担沉重,"看病贵"问题突出;公共卫生资源向城市、非贫困人群及大病医疗服务倾斜,导致健康公平性差、人口健康产出水平低。文章在分析我国公共卫生支出存在问题的基础上,指出作为卫生领域的主要参与者,政府应该通过扩大公共健康支出规模、调整健康投资方向、加大初级健康投入、对医疗服务提供者进行补偿等方式,减轻居民健康负担、提高公共卫生支出效率、提升民众健康水平。

The limited public health expenditure leads to heavy burden of families and individuals. The ineffective allocation of health resources brings about the unfairness of health availability and low health outputs. Based on the analysis of current situation of public health expenditure of China, it is believed that the government should be charged with the duties of improving the efficiency of public health expenditure, easing the health burden of common people and eliminating the unfairness in health service by increasing the total health expenditure, changing the investment orientation, paying more attention to primary health care and reimbursing the medical providers.