中国人口老龄化与医疗筹资的可持续性。

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES Cost Effectiveness and Resource Allocation Pub Date : 2023-12-19 DOI:10.1186/s12962-023-00505-0
Wenqing Wu, Shujie Long, Arcadio A Cerda, Leidy Y Garcia, Mihajlo Jakovljevic
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引用次数: 0

摘要

背景:在中国,医疗筹资结构涉及政府、社会和个人等多个方面。医疗保障基金是政府和社会减轻个人医疗费用负担的重要途径。然而,随着人口老龄化的加剧,对医疗保险基金的需求也在不断增加。因此,有必要探讨人口老龄化背景下医疗筹资结构的可持续性:本文旨在梳理中国人口老龄化以及医疗筹资的特点,并在此基础上分析中国医疗筹资结构的可持续 性。在此基础上,分析人口老龄化对医疗筹资的影响机制以及现有医疗筹资的可持续性:本文主要采用文献研究法和归纳总结法。从《中国卫生统计年鉴》和《中国劳动和社会保障统计年鉴》中提取数据。收集国内外相关文献约 60 篇:中国已经进入深度老龄化社会。与世界发达国家不同,中国的人口老龄化具有明显的未富先老特征。中国建立的由政府、社会、个人三方共同参与的医疗筹资机制是合理的。然而,在人口老龄化的压力下,中国现行的医疗筹资制度将面临巨大的挑战。学者们普遍对中国医疗筹资制度的可持续性持悲观态度:结论:人口老龄化将增加医疗保险基金的支出,减少医疗保险基金的收入。结论:人口老龄化将增加医疗保险基金的支出,减少医疗保险基金的收入,这将进一步影 响医疗筹资结构的可持续性。因此,国家应特别关注这一问题,并采取行动确保基金继续稳定运行。
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Population ageing and sustainability of healthcare financing in China.

Background: In China, the healthcare financing structure involves multiple parties, including the government, society and individuals. Medicare Fund is an important way for the Government and society to reduce the burden of individual medical costs. However, with the aging of the population, the demand of Medicare Fund is increasing. Therefore, it is necessary to explore the sustainability of the healthcare financing structure in the context of population ageing.

Objective: The purpose of this paper is to organize the characteristics of population ageing as well as healthcare financing in China. On this basis, it analyzes the impact mechanism of population ageing on healthcare financing and the sustainability of existing healthcare financing.

Methods: This paper mainly adopts the method of literature research and inductive summarization. Extracting data from Health Statistics Yearbook of China and Labor and Social Security Statistics Yearbook of China. Collected about 60 pieces of relevant literature at home and abroad.

Results: China has already entered a deeply ageing society. Unlike developed countries in the world, China's population ageing has distinctive feature of ageing before being rich. A healthcare financing scheme established by China, composing of the government, society, and individuals, is reasonable. However, under the pressure of population ageing, China's current healthcare financing scheme will face enormous challenges. Scholars are generally pessimistic about the sustainability of China's healthcare financing scheme.

Conclusions: Population ageing will increase the expenditure and reduce the income of the Medicare Fund. This will further affect the sustainability of the healthcare financing structure. As a consequence, the state should pay particular attention to this issue and take action to ensure that the Fund continues to operate steadily.

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来源期刊
Cost Effectiveness and Resource Allocation
Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
4.30%
发文量
59
审稿时长
34 weeks
期刊介绍: Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.
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