National Center for Health Professions Education Development, Institute of Medical Education, Peking University, Beijing, China.
School of Public Health, Peking University, Beijing, China.
Med Educ. 2021 Dec;55(12):1419-1427. doi: 10.1111/medu.14577. Epub 2021 Jun 16.
Funding is an essential requirement for ensuring the quality of health professional education worldwide. Adequate funding is of immense significance in training health professionals. Due to the difficulty of accessing relevant data, quantitative research of the kind is scarce.
This study aims at analysing the trends of funding levels and funding sources for health professional institutions in China spanning the past 20 years and making a global comparison.
We used data from Ministry of Education (MOE) of the People's Republic of China to analyse its funding level and structure of funding sources of health professional education in China during 1998-2017. When analysing funding level, we used two indicators: total funding and funding per student. We chose the United States, and analysed its funding level and structure to allow easy comparison to the situation in China. The data from a Lancet report (Lancet, 376, 2010, 1923) were also used to analyse global funding status to make an international comparison.
Funding levels of health professional institutions in China has increased significantly in the past 20 years, while the average annual growth rate of funding per student (4.5%) is lower than that of total funding (19.9%). In terms of the structure of funding sources, fiscal appropriation accounts for 51.1% on average, and tuition, fees and scientific research income explains 37.0%.
From 1998 to 2017, the total funding and funding per student of HPE in China increased continuously, and the total funding increased at a faster rate. The increase in funding of HPE in China is closely related to the efforts of the Chinese government and the implementation of relevant policies. Even so, funding of HPE in China is likely to remain relatively low compared to other countries.
资金是确保全球卫生专业教育质量的必要条件。充足的资金对于培训卫生专业人员至关重要。由于难以获取相关数据，因此此类定量研究较为匮乏。
本研究旨在分析过去 20 年来中国卫生专业机构的资金水平和资金来源趋势，并进行全球比较。
我们使用中华人民共和国教育部（MOE）的数据，分析了 1998 年至 2017 年期间中国卫生专业教育的资金水平和资金来源结构。在分析资金水平时，我们使用了两个指标：总资金和生均资金。我们选择了美国，分析了其资金水平和资金来源结构，以便与中国的情况进行比较。还使用了《柳叶刀》报告（Lancet，376，2010，1923）的数据来分析全球资金状况，以进行国际比较。
过去 20 年来，中国卫生专业机构的资金水平显著提高，而生均资金的年均增长率（4.5%）低于总资金（19.9%）。就资金来源结构而言，财政拨款平均占 51.1%，学费、杂费和科研收入占 37.0%。
1998 年至 2017 年期间，中国卫生专业教育的总资金和生均资金持续增长，总资金增长速度更快。中国卫生专业教育资金的增加与中国政府的努力和相关政策的实施密切相关。即便如此，与其他国家相比，中国的卫生专业教育资金可能仍然相对较低。
