欧洲卫生筹资模式的改革

Health financing reform in European countries

基于WHO欧洲委员会"增加财富与增进健康的卫生系统——塔林宪章"的卫生改革框架,卫生服务的筹资模式已经成为欧洲卫生改革的重点。本文从卫生筹资的角度系统地介绍了欧洲国家近年来所实施的改革政策与措施。通过增加公共财政投入、建立多元化的筹资模式、维护医疗保险制度的稳定性、提高统筹基金的抗风险能力以及改变支付方式来加强政府卫生筹资,为我国深化卫生改革提供了可借鉴经验。

Based on the health reform framework of WHO European Commission ＂increasing wealth and the promotion of a healthy health system-Tallinn charter＂,Health financing has been the key point in the European health care reforms.The paper introduced the policies and measures of health care financing reforms in European countries in recent years.European countries have increased public financial investment,established a diversified funding patterns and risk-sharing mechanisms,maintained the stability of health care system,improved the overall fund＇s risk-resistance ability,taken health services purchasing patterns and changed payment methods to enhance government health financing.These policies and methods have provided experiences for us to learn from in our deepening health reform process.