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| 从政府筹资职能入手,求得医改的突破 | |
| 引用本文： | 王颖,孙梅,吕军,励晓红,苌凤水,刘新明,姜庆五,郝模.从政府筹资职能入手,求得医改的突破[J].中国卫生资源,2011,14(1):7-9. |
| 作者姓名： | 王颖 孙梅 吕军 励晓红 苌凤水 刘新明 姜庆五 郝模 |
| 作者单位： | 1. 复旦大学卫生发展战略研究中心,上海,200032 2. 卫生部政策法规司,北京,100044 3. 复旦大学公共卫生学院,上海,200032 |
| 基金项目： | 国家自然科学基金重点项目基金，"长江学者特聘教授"项日基金，教育部2009年度创新团队项目基金 |
| 摘 要： | 通过定性逻辑推论和全国常规统计数据模拟测算,研究认为从财政筹资入手求得医改突破是有理论依据的,按照净收入与业务收入之间1:4.03的关系,财政补助净投入增加1元钱,百姓医疗费用负担可下降4.03元。若1991年财政即承担起筹资职责(对卫生投入占财政支出的8%),则19年来只需追加投入10 674.3亿元,即可实现高达21 348.7～43 017.6亿元医疗费用的节省,百姓费用负担由此下降34.2%～68.9%。单年不到2 000亿元的追加投入总量,以及总额预算下齐同GDP的稳定增长机制均提示,追加的财政投入完全是政府可以承受的。因此,从政府筹资职能入手,可一揽子解决百姓看病贵等问题,打破僵局,实现医改突破。当然,从财政筹资入手,总额预算基础上,尚需配以支付方式改革,以针对性解决效率低下、高额医疗费用风险以及医疗机构缺乏主动控费意识等潜在问题。 |
| 关 键 词： | 总额预算 政府筹资 医疗改革 看病贵 |
To explore a breakthrough of health reform in China through increasing government subsidies |
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| WANG Ying,SUN Mei,LV Jun,LI Xiao-hong,CHANG Feng-shui,LIU Xin-ming,JIANG Qing-wu,HAO Mo.To explore a breakthrough of health reform in China through increasing government subsidies[J].Chinese Health Resources,2011,14(1):7-9. | |
| Authors: | WANG Ying SUN Mei LV Jun LI Xiao-hong CHANG Feng-shui LIU Xin-ming JIANG Qing-wu HAO Mo |
| Institution: | WANG Ying~1,SUN Mei~1,LV Jun~1,LI Xiao-hong~1,CHANG Feng-shui~1,LIU Xin-ming~2,JIANG Qing-wu~3,HAO Mo~1(1.Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China,2.Department of Policies and Regulations of Ministry of Health,Beijing 100044,3.Shool of public health,China ) |
| Abstract: | Based on qualitative analysis and simulation,this paper discovered that the relationship of 1:4.03 between hospitals' revenue and operating revenue provided the solid theory basis for breaking through health reform through increasing government subsidies in China.In a word,with the government increasing 1 Yuan subsidies to hospital,operating revenue of hospitals should decrease 4.03 Yuan.For example,if the government undertook the financing function and invested supplementary subsidy in medical services of ... |
| Keywords: | Global budget Government subsidies Health reform Seeing a doctor is expensive |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |