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世界银行“关于发展中国家卫生服务经费供给”一文重点强调以需要方的投入(如消费者花费、保险等)提高卫生服务水平,这与某些强调供应方(如政府支付、加强管理、效率)的观点有很大分歧,这个分歧一直占据了近年来的各国卫生事业议事日程,Pawl Gertler及合作者对世界银行主张通过消费者向政府卫生服务交费获得福利的政策提出了疑问,许多健康问题专家不加分析地同意Gertler的见解。本文将以经济学理论解释世界银行与Gertler看法的不同之外,并从另一种角度探讨世界银行政策的可行性。
The World Bank’s article on the provision of funding for health services in developing countries emphasizes the need to increase the level of health services with the input of consumers (such as consumer spending, insurance, etc.), and this emphasizes some suppliers (such as government payments, enhanced management, and efficiency ) The views differ greatly. This disagreement has always occupied the agenda of various countries’ health services in recent years. Pawl Gertler and his collaborators have raised questions about the World Bank’s policy of claiming benefits through consumer payments to government health services. Problematic experts agree with Gertler’s opinion without analysis. This article will use economic theory to explain the difference between the World Bank and Gertler’s views, and explore the feasibility of the World Bank policy from another perspective.