中国的医疗体系：结构、问题与挑战。

The Chinese healthcare system: structure, problems and challenges.

机构信息

Institute of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.

出版信息

Appl Health Econ Health Policy. 2011;9(1):1-13. doi: 10.2165/11531800-000000000-00000.

Abstract

We describe the structure and present situation of the Chinese healthcare system and discuss its primary problems and challenges. We discuss problems with inefficient burden sharing, adverse provider incentives and huge inequities, and seek explanations in the structural features of the Chinese healthcare system. The current situation will be further challenged in the future by an aging population, an increasing need for privatization and growing expectations about quality of healthcare.

摘要

我们描述了中国医疗卫生体制的结构和现状，并讨论了其主要问题和挑战。我们讨论了效率低下的负担分担、不良的提供者激励机制和巨大的不公平问题，并从中国医疗卫生体制的结构特征中寻找解释。未来，人口老龄化、对私有化的需求增加以及对医疗质量的期望提高，将使现状面临更大的挑战。