CAJ | 학술논문

本文利用经验数据对中国公共卫生支出绩效进行的综合评价表明，中国公共卫生支出整体绩效不甚理想，六年绩效平均得分不到65分，基础性公共卫生服务在起伏中有提高，基本医疗服务绩效下降，公共卫生支出的整体绩效呈下降趋势。公共卫生支出绩效不理想的主要原因是：政府的过度退出和公共卫生资源配置的“二元”结构。因此，适度调整公共卫生事权结构，强化各级政府公共卫生责任，合理配置公共卫生资源，提高基本医疗卫生服务的提供水平和质量，以及开展对公共卫生绩效评价，应成为中国公共卫生政策选择的关键。
본문이용경험수거대중국공공위생지출적효진행적종합평개표명，중국공공위생지출정체적효불심이상，륙년적효평균득분불도65분，기출성공공위생복무재기복중유제고，기본의료복무적효하강，공공위생지출적정체적효정하강추세。공공위생지출적효불이상적주요원인시：정부적과도퇴출화공공위생자원배치적“이원”결구。인차，괄도조정공공위생사권결구，강화각급정부공공위생책임，합리배치공공위생자원，제고기본의료위생복무적제공수평화질량，이급개전대공공위생적효평개，응성위중국공공위생정책선택적관건。
Based on the general principle of performance evaluation, this text constructs an index system of evaluating performance of China＇s public health expenditure, then makes an evaluation of public health expenditure between 1997 and 2002. It concludes, performance of China＇s public health is low, which scores in average no more than 65, and which also presents obvious dropping tendency. The reason that performance is low is government excessively withdrawals and ＂dual＂ structure of public health resources disposition. The article thinks reasonably adjusting the governance structure, strengthening expenditure responsibility, of public health of all levels of governments, particularly of central authorities, adjusting structure of health expenditure, Enhancing quantity and quality of basic medical and healthy service, reducing the extent of inequitable of healthy resources disposition are the key to China＇ s public health policy.