疫苗多渠道筹资
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疫苗费用不报销,疾控局局长呼吁多渠道筹资
第一财经· 2026-03-16 13:55
Core Viewpoint - The article emphasizes the need to diversify funding sources for vaccination programs in China, particularly by incorporating health insurance into the financing channels for vaccines, as highlighted by the National Health Commission's recent statements [3][4]. Group 1: Vaccine Funding and Policy - The National Health Commission's director, Shen Hongbing, advocates for a multi-channel funding approach for vaccines, including fiscal and health insurance sources, to enhance accessibility and coverage of preventive vaccines like influenza [3][5]. - The current reliance on single fiscal sources for vaccine funding may hinder the sustainable development of immunization programs, as evidenced by the low vaccination rates for non-immunization program vaccines compared to those under the national immunization plan [5][6]. - The article notes that the vaccination coverage for non-immunization program vaccines is significantly lower, with rates around 40% or even less for certain vaccines, while the coverage for national immunization program vaccines remains above 90% [5][6]. Group 2: Legal and Regulatory Challenges - The integration of health insurance funding for vaccines faces legal constraints, as current laws exclude preventive vaccines from basic medical insurance coverage, necessitating potential revisions to existing regulations [6][7]. - The article discusses the need for a shift in the legal framework to allow health insurance to cover vaccines, which would require changes to laws such as the Social Insurance Law and the Interim Measures for the Management of Basic Medical Insurance Drugs [7][8]. Group 3: Economic and Health Benefits - Research indicates that the return on investment for vaccines in low- and middle-income countries can be as high as 1:44, underscoring the economic benefits of preventive measures [9]. - The article highlights the structural imbalance in health spending, where there is a tendency to prioritize treatment over prevention, which affects the implementation of disease prevention strategies [9]. - The consensus from health experts suggests leveraging health insurance policies to encourage preventive care, proposing models like bundled payments or outcome-based payments to incentivize vaccination and preventive services [9].