Yip Winnie, Hsiao William C
Harvard School of Public Health in Cambridge, Massachusetts, USA.
Health Aff (Millwood). 2008 Mar-Apr;27(2):460-8. doi: 10.1377/hlthaff.27.2.460.
The Chinese government has committed to increasing government funding for health care by directing 1-1.5 percent of its gross domestic product to universal basic health care. However, China is at a loss as to how to transform its new money into efficient and effective health care. This paper critically examines the various options currently under heated debate in China. We argue that unless China tackles the root cause of unaffordable health care--rapid cost inflation caused by an irrational and wasteful health care delivery system--much of the new money is likely to be captured by providers as higher income and profits.
中国政府已承诺增加医疗保健方面的政府资金投入,将国内生产总值的1% - 1.5%用于全民基本医疗保健。然而,中国却不知如何将新增资金转化为高效且有效的医疗保健服务。本文审慎研究了目前在中国引发激烈讨论的各种选项。我们认为,除非中国解决医疗保健费用过高的根本原因——不合理且浪费的医疗服务提供体系导致的成本快速上涨,否则大部分新增资金很可能会被医疗服务提供者作为更高的收入和利润截留。