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| 投稿时间： 2015-11-04 最后修改时间： 2016-02-26 摘要点击次数: 2067 全文下载次数: 4 |
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| 引用本文：丁雪, 王芳, 宋莉,等.我国婚前保健服务筹资机制研究[J].中国卫生政策研究,2016,9(5):19-23 |
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| 丁雪1, 王芳1, 宋莉2, 刘颖2, 陈永超1, 杨婷1,3, 衡驰1,3 |
1. 中国医学科学院医学信息研究所 卫生政策与管理研究中心 北京 100020;
2. 国家卫生计生委妇幼健康服务司 北京 100191;
3. 北京协和医学院 北京 100020 |
| 基金项目:2015年国家卫生和计划生育委员会委托重点项目 |
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| | 摘要:本文从婚前保健服务的属性入手,探讨其筹资机制,为完善我国婚检制度提供科学依据。采用文献调研和现场调研相结合的方法,梳理国内外婚检筹资现状,收集福建、广西、江苏等8个调研地区婚检筹资相关数据,并对政府有关部门、婚检机构相关人员进行访谈。婚前保健服务属于准公共产品的范畴,本文从筹资水平、资金渠道、资金分配、资金支付和资金监管等方面对其筹资机制进行探讨,提出应明确婚检服务性质、建立财政专项投入机制,进行科学论证、统一婚检服务基本筹资标准,及时足额拨付婚检专项经费、加强经费监管等政策建议。 | |
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关键词:婚前保健服务 婚前医学检查 筹资
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| Empirical research on the financing mechanism of premarital healthcare services in China |
| DING Xue1, WANG Fang1, SONG Li2, LIU Ying2, CHEN Yong-chao1, YANG Ting1,3, HENG Chi1,3 |
1. Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. Department of Maternal and Child Health, National Health and Family Planning Commission, Beijing 100191, China;
3. Peking Union Medical College, Beijing 100020, China |
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| | Abstract:In this paper, we discussed the financing mechanisms of premarital healthcare services from their properties combined with the status quo financing in our country. We then provided the scientific basis and decision-making reference for improving financing mechanism to improve the premarital healthcare system. A literature or documentary and field researches have combed the present situation of the premarital healthcare services financing mechanisms at home and abroad. Related data were collected in eight research areas, namely Fujian, Guangxi, Yunnan, Hubei, Jiangsu, Heilongjiang, Beijing and Tianjin and the related personnel from health administrative department, civil affairs departments, maternal and child healthcare institutions were interviewed in terms of Field Research. From the main content at present, premarital healthcare services belong to the category of quasi-public goods. We discussed the financing mechanisms from the financing levels, sources of funds, fund allocation, payment and financial regulatory and other aspects. Finally, some policy recommendations were put forward including making clear the nature of premarital healthcare service property, establishment of a special financial investment mechanism, unify the basic financing service standard after scientific feasibility studies, timely and fully allocate special premarital healthcare service funds to strengthen the fund supervision policy recommendations. | |
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