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胡晓翔:权利、约定和尊严--《基本医疗卫生与健康促进法》的核心价值初探(4)

要切实履行发展医疗卫生与健康事业的职责,单有伦理认知下的对国家和各级政府法律赋权和赋责,只是明确了权力的目标,《基本医疗卫生与健康促进法》据此明确要建立适度的医疗卫生与健康事业投入机制,这是一切事业的基础。主要落实在第七章的资金保障规制,例如第八十条,成为整部法的支撑性内容。该条系承续第一条、第四条、第五条、第六条等诸战略定位“目标”条的内容,发展医疗卫生与健康事业的法律职责须由各级人民政府切实履行,则必须确保应有的投入机制。政府预算是政府的基本财政收支计划,是投入的起点。预算的投入导向,明确为主要用于保障基本医疗服务、公共卫生服务、基本医疗保障和政府举办的医疗卫生机构建设和运行发展。

The legal empowerment and responsibility of the State and governments at all levels under the ethical cognition only clearly define the goal of power, which is insufficient to effectively fulfill the duty of developing medical and health services. The Law clearly defines the establishment of a moderate investment mechanism for medical and health services, which is the foundation of all services. The capital guarantee regulation in Chapter 7, such as Article 80, has become the supporting content of the whole Law. This article inherits the contents of the strategic positioning “objective” articles including Articles 1, 4, 5 and 6. The legal responsibility for the development of medical and health care must be effectively performed by the people’s governments at all levels, and the proper investment mechanism must be ensured. The government budget is the government’s basic financial revenue and expenditure plan and the starting point for investment. The budget is mainly used to ensure the construction and operation of basic medical services, public health services, basic medical security and government-run medical and health institutions.

据新华社2018年12月24日报道,受国务院委托,财政部部长刘昆24日向全国人大常委会作国务院关于财政医疗卫生资金分配和使用情况的报告时介绍,财政部将会同国家卫生健康委等有关部门,进一步加大投入力度,推动建立适合我国国情的、可持续的医疗卫生投入长效保障机制。国家进一步加大各级财政对基本医疗卫生的投入力度,把基本医疗卫生制度作为公共产品向全民提供。完善与公立医院发展相适应的政府投入办法,全面落实政府对符合区域卫生规划的公立医院投入政策,指导地方在清理甄别的基础上稳妥化解符合条件的公立医院长期债务。而源头之水,则在于政府主导的医疗卫生多元筹资机制的持续作用。同时,严格执行预算法等法律法规,加强制度建设,提高资金使用管理的科学性和规范性。继续优化整合医疗卫生项目,避免财政资金的重复投入和低效使用,全面推进预算绩效管理。

According to the report of Xinhua News Agency on December 24, 2018, entrusted by the State Council, when presenting the State Council’s report on the allocation and use of financial, medical and health funds to the Standing Committee of the National People’s Congress on the 24th, Minister of Finance Liu Kun said that the Ministry of Finance will, in conjunction with the National Health Commission and other relevant departments, further increase investment and promote the establishment of a long-term guarantee mechanism for sustainable medical and health investment that is suitable for China’s national conditions. The State has further increased financial investment in basic medical and health care at all levels and provided the basic medical and health system to the whole people as a public product. Efforts will be made to improve government input methods suitable for the development of public hospitals, fully implement government input policies for public hospitals that conform to regional health plans, and guide local governments to steadily resolve long-term debts of eligible public hospitals. The source lies in the continuous effect of the government-led multi-financing mechanism for health care. Meanwhile, efforts should be made to strictly implement the Budget Law and other laws and regulations, strengthen the system construction, and improve the scientific and normative management of the use of funds. Continue to optimize and integrate medical and health projects, avoid repeated investment and inefficient use of financial funds, and comprehensively promote budget performance management.

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