公共卫生涉及疾病预防、健康教育、食品药品监管、环境卫生改善等多个方面,是保障和促进公众健康的公共事业。保障公共卫生安全,满足人民群众日益增长的卫生服务需求,是构建和谐社会的重要任务,也是考验政府执政能力和执政水平的重要标准。一般认为,公共卫生服务具有公共物品或准公共物品属性,应由政府介入,均等化提供。本文以公共卫生投入中存在的问题为切入点,剖析原因,有针对性地提出了理顺政府间公共卫生事权与支出责任的几点设想。 Public health involves many aspects such as disease prevention, health education, food and drug control, sanitation improvement and other aspects, and is a public utility that guarantees and promotes public health. Ensuring public health and safety and satisfying the people’s growing demand for health services is an important task in building a harmonious society and an important standard in testing the government’s ability to govern and in power. It is generally believed that public health services have the properties of public goods or quasi-public goods and should be provided by the government with equal access. This article takes the problems existing in the public health investment as the starting point, analyzes the reasons and puts forward some suggestions on how to rationalize the public health authority and the expenditure responsibility of the government.