摘要
进入21世纪,人民群众所期待的卫生服务水准和追求的健康目标,正随着经济状况的改善而不断提高,社会主义市场经济制度要求构建与之相适应的卫生体系与运行机制。总体来说,目前中国卫生事业的发展滞后于经济发展,卫生改革滞后于社会主义市场经济发展进程所带来的相关体制变化。当前面临的主要卫生问题包括:多数人口缺乏基本的健康保障;医疗费用上涨超过居民收入增长和承受能力;政府卫生投入显著不足,卫生资源投入不公平、服务分配不公平及由此带来的健康不公平现象日益突出;因病致贫现象仍较严重,构成了社会不稳定不和谐因素;中国既面临仍在蔓延的传染病和地方病,又面临伴随城市化和人口老龄化的慢性非传染性疾病快速上升的双重负担,而政府和卫生系统尚缺乏足够的应对能力。这些问题同国家经济发展和社会进步息息相关,如果得不到妥善解决,将对构建和谐社会、保证社会公平稳定、巩固经济发展成果及促进人的全面发展造成严重的负面影响。
In the 21st Century people in China are expecting better health services and seeking further improvement of health status along with the social and economical development. Building a socialist market economy requests a compatible heal care system and operation mechanism. But at present the health development in China is lagging behind economic growth and heaahh reform is delayed in contrast of fast changes of institutional environment triggered by market economy. The major health issues are lack of medical insurance by the majority of population, the escalation of heahhcare costs beyond the increase of income and affordability of residents, inadequate government investment in ehahh, widening inequity in health status induced by irrational resource allocation and inequitable service distribution, and poverty caused by illness. China is facing dual disease burden caused by spreading infectious and endemic diseases as well as non-communicable chronic illness, which are ever increasing along with urbanization and population aging. The Government and health system are not well prepared to cope with the challenges. If these health issues are not properly and timely addressed from now on they may jeopardize social stability and harmony, and endanger the long-term economic growth and comprehensive human development of the country,
出处
《中国卫生经济》
2007年第3期11-14,共4页
Chinese Health Economics
基金
中国卫生部和英国国际发展部合作的"中国卫生政策支持项目"资助。
关键词
卫生改革
国家经济发展
健康目标
health issues, disease burden, health equity, primary health care
