The main logics of China's health financing transition:An exploratory analytical framework
10.3969/j.issn.1674-2982.2024.06.010
- VernacularTitle:中国卫生筹资转型的主要逻辑
- Author:
Qing-Bo WANG
1
;
Hong-Qiao FU
Author Information
1. 北京大学公共卫生学院卫生政策与管理学系 北京 100191
- Keywords:
Health financing;
Transition;
Government health expenditure;
Total health expenditure;
Analysis framework
- From:
Chinese Journal of Health Policy
2024;17(6):72-79
- CountryChina
- Language:Chinese
-
Abstract:
The health financing transition,which is centered on the expansion of health financing scale and the strengthening of public financing responsibility,is regarded as the necessary condition for achieving universal health coverage.Compared with the global trend,China's health financing transition presents obvious characteristics.By integrating multidisciplinary theories,this paper puts forward a multi-level and comprehensive analysis framework,including the system structure and function based on vertical"embeddedness"and horizontal"complementarity",the two-way trade-off mechanism guided by"maintaining and promoting health value and its derived value"and"preventing and resolving health risks and their associated risks",the budget decision-making mechanism centering on the principles of health ethics and the actual governance mode of the government,and the long-term development path with the triple attributes of modern medicine.Accordingly,this paper explores the overall logic and deep reasons for China's health financing transition.