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我国医学卫生健康事业投入的现状、问题与对策

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本文围绕我国医学卫生健康事业的投入现状、存在问题及发展对策展开深入分析.通过系统阐述健康劳动力与健康产业在推动经济增长中的重要作用,指出发展医学卫生健康事业及健康产业不仅保障了民众的福祉,还是促进经济社会高质量发展的关键因素.本文对医学卫生健康事业投入的规模与结构进行横向与纵向比较,显示相比于国际水平,我国仍存在卫生总费用占GDP比重待提升、政府卫生投入待提高及筹资结构待优化等问题.据此,本文建议:转变对医学卫生健康事业投入的传统观念,强化社会对医学卫生健康事业投入重要性的认识,将医学卫生健康事业发展目标纳入有关考核;加大对医学卫生健康事业投入的规模,建立稳定、可持续、多元的政府卫生投入机制,整合多元、多形式的社会资源,拓宽卫生筹资渠道;提升医学卫生健康事业投入的效率,建立以人群健康指标为导向的投入、监督和评价机制,促进医学卫生健康事业治理现代化.文章呼吁高度重视医学卫生健康事业在经济发展中的重要作用,以实现健康与经济的协同发展.
Current Status,Problems,and Countermeasures of Health Investment in China
This study analyzes the status,issues,and strategies of investment in China's medical and health sector.It underscores the critical role of a healthy workforce and health industry in driving economic growth,noting their importance for both public welfare and high-quality socio-economic progress.Through horizontal and vertical comparisons,the study highlights key issues:the low proportion of health expenditure to GDP,insufficient government investment,and an underdeveloped financing structure relative to international standards.Based on these findings,the study recommends:(1) shifting traditional perspectives on health investment to emphasize its critical importance,and incorporating health sector development goals into relevant performance evaluations;(2) increasing the scale of investment,establishing a stable,sustainable,and diversified government funding mechanism,integrating various forms of social resources,and expanding health financing channels;(3) enhancing investment efficiency by adopting a population health indicator-based framework for investment,monitoring,and evaluation,thereby advancing health governance modernization.The study advocates for positioning the medical and health sector at the core of economic development to achieve a synergistic advancement of health and the economy.

population medicinehealth economicshealth investmenthealth industrymacro-level efficiency

王辰、王超、曹仲、焦荔蕊、金樟峰、薛澜、陈思邈

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中国医学科学院北京协和医学院群医学及公共卫生学院,北京 100730

海德堡大学海德堡全球卫生研究院,海德堡 69120

北卡罗来纳大学教堂山分校吉林斯全球公共卫生学院,北卡罗来纳州 27516

浙江工业大学经济学院,杭州 310023

清华大学公共管理学院,北京 100084

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群医学 卫生经济 医学卫生健康事业投入 健康产业 宏观效率

2024

中国工程科学
中国工程院,高等教育出版社有限公司

中国工程科学

CSTPCD北大核心
影响因子:0.737
ISSN:1009-1742
年,卷(期):2024.26(6)