卫生筹资政策对公平性的影响

Effect of the health fundraising policies on fairness

供方筹资政策和需方筹资政策是当今世界各国采取的主要卫生筹资政策 ,而这些政策或多或少都没有把公平性有机融合进去 ,由此产生了以下几方面的影响 :健康不公平性明显 ,卫生资源分布不公平影响了卫生服务的可及性和可得性 ,医疗费用上涨造成新的不公平性等。为完善卫生筹资政策 ,增加社会公平性 ,应重视基本医疗服务和预防保健服务的提供 ;卫生筹资政策应更多地倾向于穷人和低收入者等脆弱人群 ;积极推行各种形式的预付制等。

Fundraising policies on the part of both the supply and the requisitioning parties are currently the major health fundraising policies adopted by various countries in the world. Yet these policies, to a greater or lesser extent, failed to incorporate fairness, thus producing the following effects: apparent unfairness of health, hindrance to the accessibility and availability of health services as a result of unfair distribution of health resources, and additional unfairness brought about by rising medical expenses. In order to perfect health fundraising policies and enhance social fairness, it is imperative for us to attach importance to the delivery of basic medical services and preventive health care; health fundraising policies ought to favor more those weak groups of people, such as the poor and those with low incomes; and various forms of payment in advance should be actively promoted.