ABSTRACT
In recent years,Shanghai is exploring the implementation ot comprehensive budget management in community nealtn center,but facing some problems in process:the budget management model is still not unified,"separation between revenue and expenditure" policy is not really implemented,the financial subsidies is not combined with performance appraisal.Meanwhile within the center,the personnel funds are approved by public sector,the operation funds are not standardized,and project funds are relatively chaotic.It is recommended to carry out cost accounting of community health center,clarify expenditure,introduce standardized workload in community health center to promote budgeting scientifically,strengthen the information construction to make budget implementation assessment,and establish a performance appraisal linked to the government subsidy mechanism.
ABSTRACT
Objective:To analyze the progress and challenges of China's health financing system,and raise some policy suggestions.Methods:Making qualitatively and quantitatively analysis of health financing level and structure,the mode of health inputs and the functions of funding agencies.Results:The development of the Chinese health financing system has made progress in certain aspects since 2009 when the new phase of Chinese health system reform was initiated.The total volume of health financing has been increasing yearly;the structure of health financing has been optimized;financing pattern has been clarified;the financial security level has been improved;input mechanism has been refined;the function of finaucing institutions has been adjusted accordingly.However,there are still some challenges,including lack of top-down design of health financing,high residents' out-of-pocket expenses,inadequate equity,lack of accompanying design fit for the need and demand of the poorest and the richest.Conclusion:It is suggested to improve the financing and management mode,raise the financing level of health insurance and optimize the efficiency of health funds,so as to further promote the construction of health financing system..
ABSTRACT
Objective:To analyze the progress and challenges of China's health financing system,and raise some policy suggestions.Methods:Making qualitatively and quantitatively analysis of health financing level and structure,the mode of health inputs and the functions of funding agencies.Results:The development of the Chinese health financing system has made progress in certain aspects since 2009 when the new phase of Chinese health system reform was initiated.The total volume of health financing has been increasing yearly;the structure of health financing has been optimized;financing pattern has been clarified;the financial security level has been improved;input mechanism has been refined;the function of finaucing institutions has been adjusted accordingly.However,there are still some challenges,including lack of top-down design of health financing,high residents' out-of-pocket expenses,inadequate equity,lack of accompanying design fit for the need and demand of the poorest and the richest.Conclusion:It is suggested to improve the financing and management mode,raise the financing level of health insurance and optimize the efficiency of health funds,so as to further promote the construction of health financing system..