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从卫生筹资结构和财政体制角度分析了导致城乡卫生投入不公平的原因。卫生筹资过度依赖个人,各级政府财力不均,农村卫生发展主要靠县级财政,以及现有转移支付难以保障农村卫生投入。提出了强化政府作用、完善保障制度、合理划分各级政府的事权、增强中央政府在农村卫生筹资中的作用以及调整转移支付内部结构、增加专项补助和过渡期转移支付所占比重、改善城乡卫生投入公平性的建议。
From the angle of health financing structure and financial system, the causes of unfair investment in urban and rural health care are analyzed. Health financing over-reliance on individuals, financial resources at all levels of government are uneven, rural health development depends mainly on county-level finance, and the existing transfer payment is difficult to guarantee rural health inputs. It proposes strengthening the role of the government, improving the security system, rationalizing the powers of all levels of government, strengthening the role of the central government in rural health financing, adjusting the internal structure of transfer payments, increasing the proportion of special subsidies and transfer payments during the transitional period, and improving urban and rural health. Invest in fairness advice.