我国婚前保健服务筹资机制研究

Empirical research on the financing mechanism of premarital healthcare services in China

本文从婚前保健服务的属性入手,探讨其筹资机制,为完善我国婚检制度提供科学依据。采用文献调研和现场调研相结合的方法,梳理国内外婚检筹资现状,收集福建、广西、江苏等8个调研地区婚检筹资相关数据,并对政府有关部门、婚检机构相关人员进行访谈。婚前保健服务属于准公共产品的范畴,本文从筹资水平、资金渠道、资金分配、资金支付和资金监管等方面对其筹资机制进行探讨,提出应明确婚检服务性质、建立财政专项投入机制,进行科学论证、统一婚检服务基本筹资标准,及时足额拨付婚检专项经费、加强经费监管等政策建议。

In this paper,we discussed the financing mechanisms of premarital healthcare services from their properties combined with the status quo financing in our country. We then provided the scientific basis and decisionmaking reference for improving financing mechanism to improve the premarital healthcare system. A literature or documentary and field researches have combed the present situation of the premarital healthcare services financing mechanisms at home and abroad. Related data were collected in eight research areas,namely Fujian,Guangxi,Yunnan,Hubei,Jiangsu,Heilongjiang,Beijing and Tianjin and the related personnel from health administrative department,civil affairs departments,maternal and child healthcare institutions were interviewed in terms of Field Research. From the main content at present,premarital healthcare services belong to the category of quasi-public goods. We discussed the financing mechanisms from the financing levels,sources of funds,fund allocation,payment and financial regulatory and other aspects. Finally,some policy recommendations were put forward including making clear the nature of premarital healthcare service property,establishment of a special financial investment mechanism,unify the basic financing service standard after scientific feasibility studies,timely and fully allocate special premarital healthcare service funds to strengthen the fund supervision policy recommendations.