摘要
中国医药卫生体制改革30年来,卫生总费用研究从无到有,由易到难,由边缘到主流,成为医药卫生体制改革、宏观卫生政策研究和卫生财政学的核心议题。笔者分四个阶段全面系统回顾了卫生总费用研究的发展历史与基本特征,客观描述了卫生总费用的研究现状、研究范围与主要成果,明确提出了卫生总费用研究的战略议题和优先领域,以期为医药卫生体制改革总体方案设计、公共财政体制与卫生财政体制建设,构建公共服务型政府提供超前理论指导和理论基础。
Total health expenditure study has become the central topic of health system reform, macro health policy and health finance since 30 years health system reform. Total health expenditure study has evolved from blank to wealthy, from easy to difficult, and from edge to mainstream. The author retrospected the history development and basic traits of total health expenditure study at four stages, and introduced the current situation, research scope and main achievement of total health expenditure study. The author also proposed strategic topic and priority of total health expenditure study and expected to provide theory direction for health reform project design, public finance system and health finance system building, and public service government building.
基金
国家社科基金项目(批准号05BSH040)"社会转型期社会政策框架与卫生政策战略地位"阶段性成果之一
关键词
卫生总费用
卫生财政
卫生筹资渠道
财政预算体制
政府职责范围
total health expenditure
health finance
health financing channel
finance budget system
government responsibility scope
