Department of Health Policy and Regulation, Ministry of Health, Beijing, China.
J Evid Based Med. 2008 Nov;1(1):37-40. doi: 10.1111/j.1756-5391.2008.00001.x.
This study discusses basic health services in China. In this study common sense and international experience in establishing a high-performing health system were introduced. Five components are identified: basic qualified human resources for health; basic infrastructure; essential medicines; essential technology and procedures; and basic service pathways. Recommendations were presented based upon the Chinese situation. They are: increase public financing and lower private out-of-pocket payment for services; revitalize the functions of public facilities; merge different health financing schemes; co-ordinate public fiscal and pricing policies; prioritize public financing to preventive and primary healthcare; establish and strengthen the partnership between public and private facilities and insurance schemes; and re-organize the administrative system in health-based upon the rules of simplicity, unity, and efficiency.
本研究探讨了中国的基本卫生服务。本研究介绍了建立高效卫生系统的常识和国际经验。确定了五个组成部分：基本合格的卫生人力资源；基本基础设施；基本药物；基本技术和程序；以及基本服务途径。根据中国的情况提出了建议：增加公共筹资并降低服务的私人自付费用；振兴公共设施的功能；合并不同的卫生筹资计划；协调公共财政和定价政策；优先为预防和初级保健提供公共资金；建立和加强公私设施和保险计划之间的伙伴关系；并根据简单、统一和效率的原则重组卫生行政系统。
