我国公共卫生投入保障机制研究

Research on the Guarantee Mechanism of Public Health Input in China

目的:系统分析我国公共卫生投入保障现状、存在的困难与问题,提出完善我国公共卫生投入保障机制的建议。方法:采用时间序列分析对财政公共卫生投入水平与结构变化情况进行评价,并结合文献研究、关键知情者访谈及专家咨询等,分析我国公共卫生投入保障方面存在的困难和问题。结果:政府对公共卫生的投入力度不断加大,但仍然存在尚未建立起稳定的公共卫生投入机制、补偿机制不健全、总体水平较发达国家仍有较大差距等困难或挑战。结论:需要构建以政府为主体、社会为补充、个人承担一定责任的筹资策略,并进一步完善我国政府公共卫生投入增长机制,推动并建立起公共卫生服务提供机构的运行新机制。

Objective:It systematically analyzed the present situation,existing difficulties and problems of China’s public health input guarantee system,and put forward relevant suggestions to improve China’s public health input guarantee mechanism.Methods:Time series analysis was used to evaluate the changes of level and structural of goverment’s public health input.Combined with literature research,interviews with key insiders,expert consultation,etc.,the difficulties and problems of public health input in China were analyzed.Results:The government’s input in public health is increasing,but there are still some difficulties and challenges,such as the stable public health input mechanism has not been established,the compensation mechanism is still not perfect,and the overall level is still far behind that of developed countries.Conclusion:In view of the difficulties and challenges existing in China’s public health input guarantee mechanism,it is necessary to build a financing strategy with the government as the main body,the society as the supplement,and individuals taking certain responsibilities,and further improve the government’s public health input growth mechanism to promote the establishment of a new operating mechanism for public health service providers.