Progress and Challenges of China's Health Financing System / 中国卫生经济

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..