卫生筹资与卫生系统绩效之间的关系及对中国的启示研究.pdfVIP

《申国卫笠经济》第 28 卷第5 期(总第 315 期) 2∞9 1f 5 同 卫生筹资与卫生系统绩效之间的关系及 对中国的启示研究* 李立秋①，雷溜溜② 摘 要:目的: 探索卫生筹资对卫生系统绩效的影响，为筹资模式的设计提供依据。方法:以经济合作发展组织 (OECD) 29 个国家为研究样本，将其筹资模式分为税收与社会保险筹资两种方式，采用多元线性回归模型，构建卫生 筹资模式及有关变量与卫生系统绩效间的回归模型。结果: 税收筹资模式国家的卫生系统绩效总体优于社会保险模式 的国家。政府卫生投入、卫生支出、 GDP 等筹资指标与卫生系统绩效正向相关。结论: 税收筹资模式能灵好地改善卫 生系统绩效。中国卫生筹资应优先考虑、税收筹资制度。 关键词:卫生筹资; 卫生系统绩效; 回归模型; OECD 国家 中图分类号: R197 文献标识码:A 文章编号: 1∞3-0743(2∞9)05-0020-05 A Study on 伽 Relationship Be阳een Heal伽 Financing and H，阻灿 System Performance/LI Li-qie, LEI Hai- chao// Chinese H阻lth Econom恼， 2ω9， 28(5):20-24 Abstract: Objective: The purpo回 of thís study is ωexplore the quantitative relationship between health financing and health system performance andωfind out the better financing mode l. Metb倒比: Twenty nine OECD countríes were selected ω the sample and they were grouped into two categoríes as tax and social-insurance financing mode l. Multiple-陀gression was used ωconstruct the relationship between health financíng and health system performance. Results: The model showed that the general-tax financing model wωbetter than social health ínsurance model ín tenn of health system performance in OECD ∞untríes.ηle government health expenditures and the proportion ofωtal health expenditure to GDP positively related with health system performance. Concl田:ions: The general-tax financing model ís superíor to social health ínsurance model in term of ímprovíng health system performance. China should select the general-tax financing model 刨出e first choice in designing the health system. Key words: health financing; health system performance; regression model; OECD countríes First -autbor s addr，臼S : School of Health Administration and Education , Capital Medical Clnivers坷， Beijing , 1α)() 13 , Chín