?
Bc ?
3? Dr B
Illness care
system
?B? ?
3"dD?
3F?
? ?
3"d
?
3"d
I F B M U I T Z T U F N
^ B?￥E
p??c
?
???￥S? =4[\é a?ˉ??1r B
1' "S￥?￥98 b
?B? ?
3"dD?
3F?
? ?
3"d
.l B?E
p??|￥ O =￥F??
?
? F? as ￥? ?¨Cμ￥
?'÷1 ?
?
4 ?
3 r? YV ￡ ü arm?rT
ü ? ?
3D? | ?￥o?
LC?1 |
?￥r B?4ú
3é
￥ "￥ b
?B? ?
3"dD?
3F?
áS￥?
3"d?[/ ??sF?
??
3?
?D
p
??
33ESü
?B? ?
3"dD?
3F?
??
3?
?
3?
ê
P¨?
3'÷_
?4 ?
] a r aD
? Bˉ ￥V? ?
? ?r B\é a%h?] aí
?
Bˉ b
??
3? "d
?
3? ￥8?1·ìT?
3
!
@?
? a?
3 | ?'÷￥?Z a?
3
￥??
?B? ?
3"dD?
3F?
?D
p"d
? p8"￥×1F??sYV
'á￥"1?
3? 4? ?￥
té'÷￥|?D?
3? "dM
oT¨ ]?? 1 |
ìr B￥ˉ
? b
?B? ?
3"dD?
3F?
??
33ESü"d
^??5 ?
??
3yT￥ ×1
p ?1ˉ ?
^GE?Y |
?r
B￥t ? a?
? aìa?é?Sü?
5 ? e?2By
í 1 |
?r B
?m b
?B? ?
3"dD?
3F?
áS￥?
3
Y<￥?é
^ ??
L?B?
? ??|￥
?m
Y< b
??l
g?ü68?/áS￥?
3
Y<
^?SE a"8?? | ]g
' a ]
sm￥m
Y<?[? ?1
"￥ b]
H???
3
Y<
L?B?
￥? ??|ò)????
ü ?óí?
3
Y<? ?￥g ?i?
?"ü6￥?
Z7?4úg ?￥1 è b
?
3"d 1
í
? | a? at a ? ??
?
3"d v? ?
? ?
3? 4
? ü?
?μ |
?
?@ | ?d?
3? ￥ ù?
?
3"dr￥ ?? "S
Health Systems Performance
? 4ú
?? | ?￥r B
￡ ü
better health
? Q??
responsiveness
? ? '￥??
fairness in financial contribution b
?
3"dr￥ O
￡ ü s?
r B
+ +
Q??
+ +
'??
+
é
ü
}
r
q
rm rT
?
3 ? | ?
?1r B4ú
3é
E
p??|
V?
á
2T
ü?
Q??
g ?
| ?r B
? KD1 ?r?￥ ü (
￡ ü
? K?1i ?8? | ?W￥r BμY
?
3? 31
I F B M U I T F S W J D F T O F F E
? ?1 | %?
?￥1
&r B ?
^G
|
ì￥
L=r B ?D
? “ ?Xr B
? ”-Wi μ 74￥D
a?
] a r a Bˉ?? ￥ Z431
? ? | $3?￥31 Q F S D F J W F E O F F E
? ?D
?
3< |? ??￥31 b
?8DDDEr B31￥ ??
? 8
DDE
μr B31 ír B31
μr B31
a b
ír B31
c d
?
3? 3 p
I F B M U I T F S W J D F T E F N B O E
?
^Vü6?N′4 Q?· B?
H ù = a
B?Nì
￡ ü
|
ì ?i 7 O μ ? ? hn￥?
3?
b
? s1
?
– ?31?7 ?￥3 p
–
àμ31￥3 p
?
3? 31D3 p￥1"
31
? a
M?
￥3
1
ú
a
M
?￥
?￥
31
?
3 p
31 3 p
ü
àμ
31
￥3
p
y
?
3? ?¨
I F B M U I T F S W J D F T V U J M J [ B U J P O
?
^3 p?
L= ?¨?
3? ￥
?
'
μr3 p
^ | ??
3? 31
??
3'÷ó
Mo??￥2T b
?
3? 31 a3 pD ?¨-W￥1"
31
? a
M?
￥3
1
1
ú
a
M
?￥
?￥
31
?
3 p
3
11
3
p p
ü
àμ
31
￥3
p
p
y
3 p¤3 p¤
?
?
@
?
¨
?
3"dQ??
responsiveness
^?
3"d￥á-B
?
^·?
3"
d?8 dr BZ
? ?R? ? ù?￥ a?
?
a?￥Q? b
?
3"dQ??
responsiveness
V[ ?31?
3"d￥B? ? ?A
U?
3"d D?? | ?￥o?V???
3"d
?@ |
ì"? ?r B-?￥
??
? ù?￥ ? ?
?
3"dQ??
responsiveness
??1￥F??s |￥M× ? [?
`1?? b
Q??M1￥ ?N·S
a |￥M×
? M?
ü?V??
s?D |?￥M× a8
H
&8?
2?ê
s? 1?
?
á?
?h
N?¤?
á aDD |?￥?
??
á?
? 1??
?
??Dí
1 ?Z?￥ %? aí
? -?¤h |]i?
a[ ? `1??
?í
￥#
H?
??Dyí a$? y a?_°
y a????
HW ?
?üD?￥ê4?
? Vê4D |? a
??
?
?üDìa￥
}
a
???
iμ@ bW a b±￥
?
3
!
@?
?
?|??
?
? T?
j a4
J ?t
? a7?? 1??
sK??
% J T D V T T J P O
T1B??? Füèü?Dy￥Q?
?
￡ üμ? ?N$
T1BêDD
3 F
L n ?43
?￥M?Dy￥Q??
￡ üμ? ?N$
T1Bê? ?￥D
3 F| ?yT?4
?
3? Q??μ?
!X?yp$
?
3"dQ??
í M ??
3
5×?Q???Bà Q￥
CD?Z8C
?
3"d
?
' ? ?￥×
j b
?
3"dQ??
4úQ??
^? ?D?1" a9 <?
3 ?
é? ?￥μ ?
m
b
??C¨
?f￥D?1"
^ |
ì1?￥B
???ù5D
?t?Cá
Ph |
D
?8?Dy1 ? ov7D
351-
￥ |
&? ???3<ìa?
? D
Y
#) ?H è￥
?
P |
ìD?
?Z￥ ?
m÷F1? b#4úQ??
^h"?fD?
1"￥×1n
@ b
ü?
Equity
?
?μ￥? D'÷? ? ü1¤
? Equity ü
? Equality ü?
?
3 r ü?
F R V J U Z J O I F B M U I D B S F
·?v31 ? a ü? 1s ￥ò? V ?
¨￥?
3'÷
P?? | ?? ?μM]
￥?V?
sm b'M]￥r B31?
μM]￥? V#?
M]￥31?
¤M]￥?
3? ?¨
?μ￥
??
?
?¤
s￥?
3? é
??M] b
?
3 r ü?
F R V J U Z J O I F B M U I D B S F
?
3? ?¨￥ ü? ?
￡ ü ü ?
<° ü b
￡ ü ü·M]￥?
3?
31??¤M]￥?
3? ?¨ <
° ü· μ?]?
3? 31￥ | ?
??¤?]￥?
3? ?¨
??
?]r B ?￥?8314?]￥?
3? b
'￥ ü?
F R V J U Z J O I F B M U I G J O B O D J O H
? ·? |± ? ?7d%h￥2B ?s ?
??EVy|±?
3"d￥?n7
?
"
￥?B b
'￥ ü?
F R V J U Z J O I F B M U I G J O B O D J O H
s1
￡ ü ü ? <° ü b -?·?]
? ?Y | ?
|±M]￥n¨??¤M
]￥?
3? ?¨ a?·?8 1r
B'
H
|±-?D |± ? ?MBá
|± ? ? ú
|±￥'-? v b
r B ü?
F R V J U Z J O I F B M U I
? ·?]
? | ? ??]
l ? a?]?
B a?]?Y?
μM]￥r B ?
r BμYD V ?
êl
?
a?] | ?
μM]￥¤r B￥? b
?
3?
?
#?￥ ??
ü?
K?￥ "￥?
^
1
LC | |r B b
?
3"d￥? ?? "S
YVs?
3? 31 a3 p? ?¨ ￥1
"4
a?￥?
3?
?@ |
ì?
3"d?? ?dr BZ
?￥ ?R￥ a? ?
￥ ù? Q?? m ???
?ò ? |
?-W r B??
3? ?¨
￥??
???μ￥
?μ
? p
P
??
??
? ?r?'
3iS ü ? b
?
3F?
?
3??F?
?
3? F?
B D
C ?] r
?ù??
3F?
?=? D
p?
?=? D
p?
n¨￥K? a V#??é
?
?
3?
Mo??￥? ??1" b
n¨￥K?
V#? é
?
3? ?n¨K? a V#??é
??￥? ??1"
?=? D
p?
D
p?
D
B? N F E J D B M J O T V S B O D F T Z T U F N
^·B?SE1 u13 %
?r Bù5?v Be5
7" as ￥?
P¨?
3á￥8??n
@ b
áSD
p?
n a ? D
?
^áSyS[aì?
ˉyD
pZ
?￥
???X? ?
a
?? -
??Z￥￥31 b
é ?
W@áS 7
S 1wé aQD
p8"￥y
! ? ì?ˉy'D
B? ? jh?TD
?
^$??
? b
áSD
p?
B “dl2? ”￥'D
B?￥y ?
p'D
<W-?
? ?s?
dl2?
5 ??? ￥
??
áSD
p?
= jhD
p?
???? a j
?1??F
y1?R
??
T
[vhd1?1?
T
×?3 % j
?v
h a×h￥D0?ê
[E1?êé?'?5 ?
<??? j
?D
p?￥3 ?
r ??TD
5 ?
y ?μr￥5 ?8??
?Sü?
áSD
p?
? aQ￥D
p8"￥y ?
ì?ˉy'D
B? jh? ? ? TD
?
^áS aQD
p8"￥ ' F? ? s
? ?
< ? D
B aSE ?D
?ù aˉy
v- D
n¨?ù a
<D
B#
?D
÷
ù ? ]?B? aQ￥
?D
p8" b
áSD
p?
Reference
http://www.37c.com.cn/literature/literature06/manage03.asp?filename=019/
05/0190503.htm
Reference
? ?? ?
3? é
￡DGE?D
B3<D
=E
=D
Y#) ?E
p?
B 3<D
=E
u?? |
? ?S3<D
=E v
M °
?? ?S |vè??? ?Q?pYV
M °
L
@
BD
=yT￥5 ?
S y?
3???
ê?5 ?S￥D
=yTE)[
1Z |
???μ
35 ?'?? u× =￥D
=yT b
=D
=￥ˉ3?
?3 ?
D
=?? !
z￥ˉ<?
￡?D
3<
￡ ü? |??
lú
*
k?]híh a÷
μ?
a 1 |
?r B￥
*
<ˉ3
?'ì I
k?3<?¨
SE
L?D
='ì I
k?
SE
L?D
=3<?¨?
·D
=ü?¨a V[ D
a?
] a r??v?¨￥3< ?Y3
<V
YM?￥D
a?] a r<
·?üD
=?¨ |¤3<￡
??¤
V
YD
=3<?
?¨D
=3<1 p
3<1?
?ü ?? ? ?¨3<1?
[?3<
3< ?Y
D
a?] a r
3<S?
< ?? ?? 1-?¨￥
S?
·? ?üμ1?
ê ??$ f ?
/V
Y￥3<?
·ì?dD
= ü1?D
1D
=3<?5
D
= 3<??Zμ￥ ? ?
°DD)? a ￡
üóq
°¤M?￥D
!!Hq
°D
??
@?F<D
?v8
°¤
s???a
° |ìM? |
&? ??
s SU
°¤y'
°?D
??5 ?
1D
=3<?5
D
= 3<??
k?￥l
°N
oE
pE??S
°N
oˉ<?￡
°M×?? 1???
2
°Gù< 4ú<
￡ ü
°?.?
3 r?
M
" D
=3<?5￥+?
3<?5
^D
=GvE
p?? 3<V
??
??N
o￥???e5
?D
=￥3<?1
! ?￥
"￥
^?SD
=￥3<?1
Lé
^1 pD
=3<V??1?
1B??1￥E
pl
" D
=3<?5￥+?
üA{μ <??
° “A? ” a“?? ”
íHq
k?￥ = ?
àμ
k?
???T1￥′E?1
° “?¤ ”
? ?
L
@￥ = ?
L
@
??T1￥′E?1
# D
=3<?5 = ?
B?A?
O
^ &
?μ1DD￡
üóqA?
ü?° a?°i???#
HADD
ó
?
# D
=3<?5 = ?
???¤
?¤? G aà/?g?DDó
?#μ
1'
?¤ D3<S?3< ?Y??￥
DD￡
üóq
?¤2$?? '$÷)?
# D
=3<?5 = ?
?¤
P¨"???í
?￥
?J a
y? aú
*0 ??b
?0 ?
?¤ ?¨ˉ -L
ì | adE
l
s?
??t? |
e??? ?m
# D
=3<?5 = ?
·ì?D
μ3 | a0 ?? |
? aD
=?μ1 |?[ ?? l
l
s
0 ?
3á < aü? <? } ?
|óí￥?t
e ?m
—— u0 ?5 ?E v? H
# D
=3<?5 = ?
°
l
s0 ?
3áü? < } ? |ó
í￥?t?
e ?m
??
3???
ê'?êóí)s
à
l′E
?¤ ′E f??×￥??
3??
?
ê?gD
=3<￡
? ?UL￥GE
??
Y3 ?
——
u0 ?5 ?E v? H
# D
=3<?5 = ?
? ???
?? !
z￥ˉ<?￡?D
3<
￡ ü
2$????? |?$n
@é??í
??
P¨üSEμ1?
ê ?
P¨￥0
? ahy04?D
?
?? ?
L_??E
?o
h f
# D
=3<?5 = ?
L?
"5D
??üDy ?i?¤
??# E
?]i
?μ?×ˉ} |
?
3 r B f ?
H??
?V?
3???
ê? /
?
3D
Y#?C. ?hf f
H??
#
Há
# D
=3<?5 = ?
?C??
@
]
Yq?d?è
μ§
H ?
?_μ1?
êá
3<ù ?D
=?? 3<D
=￥·?/3<
?D
= I?? ?T
I?
I?F?
sE[
?
3???
ê??￥F?
I? = ?
°<
￡ ü
°yT?
°ˉ<?￡ ?
?D
= I?? ?T
?T
"￥
4úD
=￥<
￡ ü?
íé
9?
E)[
?
3???
ê??
?
T
??
T a4Hq
BE
p3 ?
??3 ?
·Tá
·3
7 T ?[
M[/
3<?
· f??×
?g3<￡
?
?
Y3 ?
?ULGE??
Y3 ?
= aD
Y#) ?E
p?
BD
Y## a?
=D
Y#￥?)
?D
Y#￥?]D)?
1D
Y#￥) ?Z
T? ￡ê
?D
Y#￥k?
BD
Y#￥E
p3 ?
BD
Y#￥cl
D
# D |? D
?
?′QD
?
35 ?E
p a??E
? a?
ê?c??
1 ??S aè?
V
>/??? |
&
?]￥
Y# b
ü ?D
Y#Vpe5
?
??D
Y#￥ f?
?$ f ?/1 =÷<2??
3 7?
|DD?$n
@/?￥?
aT
D
??????h fsè??
?8é+
y7?
3￥D
i?
?
??D
Y#￥ f?
CμDD SD/
?Hq/?
3í
E?
?? ?]S￥?
aT
íVp
{ó? ?/?￥?
aT
y?Zeyü?
?á￥?
aT
y? V F ?/?￥?
aT
uD
Y#) ?H è v
c H
M °
|S y
7?
°
@?
" ?E7?
? ?) ?D
Y#
1D?
?Z￥?E ?m
?1D
?? pD
? ?
\éDD SD￥?Z
# uH è v￥+?
°l
D
Y#× ?]
° ?v
D
Y#￥ =d
°|??) ?D</
?k??ì us 7
°?í??÷ ? ?y ?
μK￥h ?
7b?
# uH è v￥+?
°
ü ?
?
3???
ê￥ˉ3
°???
3D
Y# ￡ê?
?
Y3 ??p
￥3 %o?
°?
?EY5ú
*
ü ?
D
Y#
?
Y
￡ê￥e5 a[ " aS?9
?ZE
°Fv
D
?D |?￥3 ?
$
? ￥*?c
° uD
Y#/
?k? ?÷E v
° uD
Y#s)S v
° uD
h ?5 ??? v
° uD
Y#?p?
C_#<
/
? |?'ì a? ?÷E v
$
? ￥*?c
° uD
Y#/
?k?E oD S<F
c
k? v
° uD
×vV
>?1?D
Y#á?
￥?? v
° uh ?
?'?S v
=D
Y#￥s)
B)
μ§ a×?%
=) ??% a?×? ?p?
?) ^?% aB?? ?p?
1)
e
?]aT
|h/
?
Y#D3 ?
Y#￥?s
# D
Y#￥s)
B) J aY=?
=) J aY ad aà
1?
?) J aY ad aà a???
1) ?s?
B)Y?à ?)???
??)Bà
E)
?D
Y#￥?]D)?
D
#D |?￥3 ?
oE a?? aa
oˉ<?￡
?a a5 ? aé
S e
¤? a&? a?
h ?5 ?D4
? aˉ? a i
]SD) ? ???? ah ^
?]
?D
Y#￥?]D)?
D
#D |?￥3 ?
á? a3s
á V
> a
Y# a) ?2T
?￡
4￡
C_ a
C8 iD) ?
￡ê
1D
Y#￥) ?Z
T? ￡ê
° D?
?Z V[x
3 %
° V[
# h?
3???
êé????3
?3???3r?xpaBZQ?
￥?
3???
ê? ?3
° V[°¤_Ey4
?
Y
?
?
?D
Y#k?
Qk??
8 a1
DD?F?
L?E o?
a? ?vk?ES?
? |k?E
?D
Y#k?
EF?pk?
3E?
?÷???
??
,°?
k?2
??S?
" k?F?
DD?μ3F?k?yT
Qk??
nQ
! u￥
g a
8*E
g1ZDD
?μ3F?
Q
8 a1í u a°*
g1ZDD?μ
3F?
A1
H ??DD?F?/
?k?
P
4 a
ˉ a ?Sμ×v?Y
# E o￥y ?
G D S<F "
c
!?D S<F
E o?ê |￥Hq
· |¤M?3<'ì
·
z<
íé
·
z3< ?￡
·B?' ??yTü
ED V[é ?E o
$ k?￥4
?
3???
ê??
? D
?
3×vD
V
>?1aM?k?
? 1 p?
3???
ê) ?￥M?k?
D?
?Z ]??
3E1??
% ?
s ?￥+? f?
?
Y |BZ°¤4￥
# ?D
?B
?
? 1D
D?X
s ?￥
?püEy?3r?xp ? %￥
X_Ey4
?
?￥
3E??"?
dE?D/???
?]￥
?
3???￥
e f?
& k?￥??
? ?
Y |????4?k??
? 4￥?
??
L
? '? ,k?n
? ?
3???￥
e f?
' Ek?F￥F?
|
?1 |[
￥?
?
? |Ek?F??
°'11??11￡
°?D S1?
eD S1￡
°°¤k?1?fq&?1￡
°DDE1?ED1￡
( μ1
HK
DD?1
s ?k?- ° ° =Y
??p
?Z4?k?
?3?
?
Y |1
l?DD?Y? ° =4
?μ1?
a
?
??
??sP
DD?1
l??
Y |μ1?
- °
° =F?k?i k?
?
( μ1
HK
DD? k? - ° =
?
?Y?k ?F
??
??
nQk?￥1
l?
nQk?
?- °
° =4 Qk?
# h
k?2
??μ1'
i ùK?¤
?
M
BD
Y#￥E
p3 ?
D
Y#) ??
#?E
p3 ?μ
?
Y3 ? a
??3 ???
Y3 ? ??
" ?
3???
êyT |?
′QH è??
/??×aTGE??
Y3 ?
??
Y3 ?í[?)üˉ)s
?E
p3 ?
# ?
3???
ê
′QH è??
Tái3
7K ù??
f??×￥μμ3 ?￥?5 |?
?
e°¤3 ? |?GEóí??)s
?E
p3 ?
$ D
?
Y#?)? f?óí
Tá
f??×3
7K ùT<?
?g3<? V￡
?E
p3 ?
% D |?
??)s@
p)s
@ {
3
7 T ?[
M[/3<?
f??×?g3<￡
?
?
Y3 ?
D
Y#L M[/μ ùn??b
?E
p3 ?
& D
/
?k?yT |?
′QH è??
/??×aTGE??
Y3 ?
??
Y)@￥?g3<￡
??'
ì￡
?
?E
p3 ?
' D
?μ1
??
C_í?? ?? '
C_
p? aà/ a? G ag?h ?'
?3
7?? aTá
??5 a°¤3 ? |??? a@
p)s
? f??×?g3<￡
?'ì￡
?
?E
p3 ?
( ?ì ?
yD
?/
?k?yT
GE??
Y3 ?
??
Y)@￥GEóíí?5 ?)@
