| 引用本文：雷海潮,刘新亮.政府卫生支出的中外比较研究[J].中国卫生政策研究,2008,1(1):10-12 |
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| 政府卫生支出的中外比较研究 |
| 投稿时间：2008-10-06 修订日期：2008-10-16 PDF全文浏览 HTML全文浏览 |
| 雷海潮1, 刘新亮2 |
| 1.卫生部政策法规司;2.北京市疾病预防控制中心卫生经济学研究中心 |
| 摘要:目的：比较中外政府卫生支出的差异，并探讨卫生筹资相关政策及卫生总费用统计报告等问题。方法：采用文献综述方法获取国外部分国家卫生总费用中的政府卫生支出数据，采用描述性统计方法进行中外对比分析。结果：中国政府预算卫生支出和广义政府卫生支出占卫生总费用的比例均低于中低收入发展中国家的平均水平。结论：不同卫生体制的模式决定政府卫生支出的水平。国际上一般使用广义政府卫生支出进行跨国比较。建议尽快按照世界卫生组织（WHO）或者经济合作发展组织（OECD）要求，调整中国卫生总费用的报告口径。文章还对增加政府卫生投入的重点方向进行了探讨。 |
| 关键词:卫生总费用 广义政府卫生支出 政府预算卫生支出 比较研究 |
| 基金项目:北京市科技新星计划，编号：9558103000 |
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| LEI Hai-chao1, LIU Xin-liang2 |
| 1.Department of Policy and Regulation, Ministry of Health;2.Centre for Health Economics Studies |
| Abstract:Objectives: To compare the difference in government expenditure on health between China and other countries and discuss the related health financing policies as well as the statistic data system of National Health Expenditures in China. Methodologies: Literature review method was used to collect the domestic and international data on government expenditure on health and descriptive statistics approach was employed to compare the national health expenditures (NHE). Results: The ratio of government budgetary expenditure on health to NHE in China was lower than lower middle income countries and the same situation was applied to the ratio of general government expenditure on health to NHE. Conclusions: The ratio of government expenditure on health is determined by the structure of health system. The generalized government expenditure on health is widely used in cross country comparative studies. The policy recommendation is made that China should adopt WHO or OECD rules in computation and reporting NHE. In addition, the prioritized areas for government budgetary expenditure on health were also discussed in the paper. |
| Key words:National health expenditures, Generalized government expenditure on health, Government budgetary expenditure on health, Comparative study |
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