[1]农静雅,苏晓红,翟铁民,等.老龄化背景下日本卫生筹资体系改革及启示[J].卫生经济研究,2026,43(02):58-61,67.
　NONG Jingya,SU Xiaohong,ZHAI Tiemin,et al.Reform of Japan's Health Financing System in the Context of Population Aging and Its Implications[J].Journal Press of Health Economics Research,2026,43(02):58-61,67.
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老龄化背景下日本卫生筹资体系改革及启示

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年02期
页码:
58-61,67
栏目:
卫生筹资
出版日期:
2026-01-31

文章信息/Info

Title:
Reform of Japan's Health Financing System in the Context of Population Aging and Its Implications
作者:
农静雅1; 苏晓红2; 翟铁民3; 李 岩3
1.北京航空航天大学公共管理学院，北京 100191
2.华北理工大学，河北 唐山 063210
3.国家卫生健康委卫生发展研究中心，北京 100044
Author(s):
NONG Jingya;  SU Xiaohong;  ZHAI Tiemin;  Li Yan
School of Public Administration, Beihang University, Beijing 100191, China
关键词:
人口老龄化; 卫生筹资体系; 日本
Keywords:
population aging;  health financing system;  Japan
分类号:
R19
文献标志码:
A
摘要:
为应对老龄化带来的医疗费用快速上涨，日本政府对卫生筹资体系进行持续改革，在实现“国民皆保险”的基础上，提升社会责任，丰富筹资来源，持续优化筹资结构。如今，日本的卫生筹资体系主要包括基于税收的社会医疗保险和一定比例的个人卫生支出，此外，还补充建立了高额疗养费制度。其中，社会医疗保险包括健康保险、国民健康保险和老年人医疗制度。借鉴日本经验，我国卫生筹资体系改革应扩大卫生筹资渠道，提高人均筹资水平，减轻个人及家庭就医负担。
Abstract:
To address the rapid rise in healthcare expenditure driven by population aging, the Japanese government has implemented continuous reforms to its health financing system. On the basis of achieving universal health coverage, the Japanese government has strengthened its social accountability, diversified funding sources, and continuously optimized the financing structure. At present, Japan's health financing system primarily comprises tax-based social health insurance and a proportionate share of individual health expenditures. In addition, a high rehabilitation fee system has been established as a supplement. Social health insurance encompasses Health Insurance, National Health Insurance, and the Medical Care System for the Elderly. Drawing on Japan's experience, China's health financing system reform should expand health financing channels, increase per capita funding levels, and reduce the burden of individual or family medical treatment.

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更新日期/Last Update: 2026-02-03