从国际经验看卫生筹资和社会健康保障

International experience in health financing and social health protection

卫生筹资涉及卫生资源的生产、分配和利用,在卫生系统中占有举足轻重的地位,越来越成为世界各国政府和人民关注的中心问题,也是全球卫生研究的热点领域之一。本文从卫生筹资的目的和功能、社会健康保障的含义及实现途径、全球卫生筹资及社会健康保障的现状和面临的挑战、以及应对挑战的策略等角度综述了卫生筹资和社会健康保障方面的国际经验。

Health system financing covers a wide range of issues from resource mobilization to allocation and use of available funds.Health financing plays critical roles and is a growing concern for health systems.It has increasingly become the central concern of governments and people all over the world as well as a focus of research in global health.This paper draws from international experiences in improving health system financing and social health protection.It begins with a review of the objectives and functions of health system financing,followed by a definition of social health protection and steps to achieve universal coverage.It then considers the challenges in the current environment,and ends with a discussion of strategies used by countries in achieving universal coverage.