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目的论证公共卫生服务中政府筹资职能缺位的原因。方法采用逻辑推理的方法分析公共卫生服务的需求方、供给方和政府三者之间的博弈。结果公共卫生服务的需求方是人民群众,供给方是公共卫生服务机构,政府介入是公共卫生服务供求关系得以成立的重要前提。政府同时承担着对供给方的管理和对需求方的代理,使得供求双方及政府之间的信息不能得到及时有效的沟通,需求量、供给量、费用、成本、满意度、效益等要素都模糊不清,而且目前的领导重视和专家评估也都无法很好地解决这个问题。结论需求量、供给量、费用、成本、满意度、效益等公共卫生服务要素的模糊不清,导致政府在进行财政投入决策时缺乏依据,无法积极承担筹资职能。公共卫生问题的严重性和解决问题的迫切性被掩盖,进一步阻碍了政府积极承担筹资职能的决心。
Objective To demonstrate the reasons for the absence of government financing function in public health services. Methods The method of logical reasoning is used to analyze the game between demand side, supply side and government of public health service. Results The demand side of public health service is the people and the supply side is the public health service institution. The government intervention is an important prerequisite for establishing the relationship between supply and demand of public health services. Government at the same time bear the management of the supply side and the demand side of the agency, making the supply and demand sides and the government information can not be timely and effective communication, demand, supply, cost, cost, satisfaction, benefits and other factors are vague Unclear, and the current leadership attention and expert evaluation are also not a good solution to this problem. Conclusion The obscure factors of public health service, such as demand, supply, cost, cost, satisfaction, benefit and so on, lead to the lack of basis for the government to make financial investment decision and unable to undertake the fund-raising function actively. The severity of public health problems and the urgency of problem solving have been masked, further hampering the government’s determination to take on the funding function.