CAJ | 학술논문

财政投入不足及资金使用效率不高是全球范围内精神卫生服务领域面临的共同困境。国际上普遍采取的精神卫生筹资渠道有税收、社会保险和自费等，其中政府是最主要的筹资主体。我国精神卫生筹资总体水平较低，公平性差，且资金分配机制不合理。本文认为，为完善我国精神卫生筹资政策，需将卫生筹资纳入精神卫生法和精神卫生工作纲要，并明确政府尤其是中央政府对精神卫生的财政投入责任，在资金分配中向社区倾斜，提高资金使用效率。
재정투입불족급자금사용효솔불고시전구범위내정신위생복무영역면림적공동곤경。국제상보편채취적정신위생주자거도유세수、사회보험화자비등，기중정부시최주요적주자주체。아국정신위생주자총체수평교저，공평성차，차자금분배궤제불합리。본문인위，위완선아국정신위생주자정책，수장위생주자납입정신위생법화정신위생공작강요，병명학정부우기시중앙정부대정신위생적재정투입책임，재자금분배중향사구경사，제고자금사용효솔。
Insufficient financial investments and insufficient raised funds are a common dilemma in mental health service worldwide .The primary sources of mental health financing worldwide are taxes , social insurance , and out-of-pocket expenditure by the patient or family .Government plays the primary role in fund raising .China has a low level of mental health service and poor equity in mental health financing as well as irrational allocation of funds . Mental health financing system in China should be improved by adding the financing system into mental health law and the outline of the central mental health work while making it clear that government , especially central govern-ment, is the main subject of mental health financing .Community mental health should also have the priority over fund allocation in order to increase the efficiency of raising funds .