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目的:分析我国卫生筹资制度建设进展及问题,提出政策建议。方法:对卫生筹资水平和结构、卫生投入方式和筹资机构职能进行定性和定量分析。结果:2009年新医改以来,我国卫生筹资制度建设取得一定进展,卫生筹资总额逐年提高、筹资结构优化、筹资模式明确、保障水平提高、投入机制细化、筹资机构职能相应调整,但仍存在一些问题,主要包括卫生筹资缺乏顶层设计、居民个人现金卫生支出占比高、公平性有待提高、最低保障和高层次需求保险发展程度不高等。结论:建议通过完善卫生资金筹集与管理模式,提高统筹层次和资金使用效率等进一步推进卫生筹资制度建设。
Objective: To analyze the progress and problems of health financing system construction in our country and put forward policy recommendations. Methods: Qualitative and quantitative analyzes of the level and structure of health financing, ways of investing in health and functions of funding agencies. Results: Since the new medical reform in 2009, China’s health financing system has made some progress. The total amount of health financing has been increasing year by year. The financing structure is optimized. The financing mode is clear, the level of protection is improved, the input mechanism is refined, and the functions of the financing institutions are adjusted accordingly. However, The problems include the lack of a top-level design for health financing, the high proportion of personal cash expenditures for health care, the need to improve fairness, and the lowest level of protection and the high level of demand insurance. Conclusion: It is suggested that the health financing system should be further promoted by improving the mode of health fund raising and management, improving the level of overall planning and the efficiency of fund utilization.