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我国现阶段卫生筹资政策分析 总被引:14,自引:1,他引:14
介绍中国卫生筹资政策的背景,对中国现阶段卫生筹资政策进行分析,提出进行卫生筹资改革的建议:(1)增加政府卫生投入;(2)卫生服务重点转向预防保健;(3)卫生筹资政策更多地倾向贫困人口及脆弱人群;(4)大力发展社区卫生服务,并将社区卫生服务纳入医保;(5)实行同行服务审核制度;(6)积极推行医院预付制。 相似文献
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大陆卫生筹资政策的讨论 总被引:4,自引:0,他引:4
一、计划经济体制下的卫生筹资政策 众所周知,中国大陆在1978年改革开放前,执行计划经济体制,卫生资源由政府通过计划手段配置;同时,强调生产资料公有制,即全民所有和劳动 相似文献
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卫生筹资政策对公平性的影响 总被引:26,自引:10,他引:16
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,卫生公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。 相似文献
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我国社区卫生政策及分析 总被引:3,自引:1,他引:2
卫生部《关于2005年城市社区卫生服务发展目标的意见》中提出,到2005年我国应形成较完备的社区卫生服务政策体系。本文就社区卫生政策及其制定等有关问题进行了研究,并对我国目前的社区卫生政策进行了分析。1社区卫生政策内涵1.1社区卫生政策概念社区卫生政策是党和国家卫生政策体系的一个重要组成部分,是党和政府实现对社区卫生工作领导和各项管理职能的根本方法和决定性手段,是整个社区卫生工作的核心。具体说来,社区卫生政策是指政府用以规范、引导社区卫生机构、个人及社会与健康有关的行动准则和指南。社区卫生政策也可以看作是:为改善… 相似文献
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Huff-Rousselle M Lalta S Fiedler JL 《The International journal of health planning and management》1998,13(2):149-163
Stakeholders formulating policies on national health insurance (NHI) in the Eastern Caribbean have circled the abstract concept called NHI like the proverbial blind men explaining the elephant. Definitions of NHI have shifted depending on their perspectives and philosophical leanings, their understanding of the issues, and their degree of influence on the process. Based on NHI feasibility studies, market research, and stakeholder analysis conducted in five countries, this article analyses the policy formulation stage of NHI development in these tiny countries. Given the level of economic development and the existing administrative capacity of the governments, this 'phase one' NHI could be a pragmatic first step in introducing a health insurance component into the social security systems of the countries, and gradually reforming other aspects of the health sector. The article is structured around key questions which help to define the positions and relationships of key stakeholders, and then evaluate NHI plans in terms of economic viability, equity, administrative feasibility and efficiency, cost containment incentives, and political palatability. These are the elements that--in combination with economic and political context--will determine the success or failure of NHI in the Eastern Caribbean. 相似文献
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Health care in Brazil is financed from many sources--taxes on income, real property, sales of goods and services, and financial transactions; private insurance purchased by households and firms; and out-of-pocket payments by households. Data on household budgets and tax revenues allow the burden of each source except firms' insurance purchases for their employees to be allocated across deciles of adjusted per capita household income, indicating the progressivity or regressivity of each kind of payment. Overall, financing is approximately neutral, with progressive public finance offsetting regressive payments. This last form of finance pushes some households into poverty. 相似文献
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Verbrugh HA 《Nederlands tijdschrift voor geneeskunde》2006,150(45):2513; author reply 2514
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R E Brown 《Hospitals》1968,42(20):43-7 passim
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