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class=\"wp-block-image aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/newstatic.dukekunshan.edu.cn\/globalhealth\/2026\/08\/23225629\/%E5%9B%BE1-v2-4096x2360.png\" alt=\"\" class=\"wp-image-18179\" style=\"width:560px;height:auto\"\/><figcaption class=\"wp-element-caption\">\u56fe&nbsp;1. 2019-2025\u5e74\u6211\u56fd\u57fa\u672c\u533b\u7597\u4fdd\u9669\u53c2\u4fdd\u4eba\u6570\u53d8\u5316<\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-align-center has-cyan-bluish-gray-color has-text-color has-link-color has-small-font-size wp-elements-b14a1894ca27cf7fe17a79e22fc86986\"><strong>\u6ce8\uff1a<\/strong>\u200b&nbsp;\u6570\u636e\u6765\u6e90\u4e8e\u300a2019\u20142025\u5e74\u5168\u56fd\u533b\u7597\u4fdd\u969c\u4e8b\u4e1a\u53d1\u5c55\u7edf\u8ba1\u516c\u62a5\u300b\u3002\u53c2\u4fdd\u7387\u6309\u57fa\u672c\u533b\u7597\u4fdd\u9669\u603b\u53c2\u4fdd\u4eba\u6570\u9664\u4ee5\u603b\u4eba\u53e3\u6570\u4f30\u7b97\u3002<\/p>\n\n\n\n<p class=\"has-cyan-bluish-gray-color 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class=\"wp-block-heading\">\uff08\u4e8c\uff09\u672a\u53c2\u4fdd\u4eba\u7fa4\u66f4\u591a\u96c6\u4e2d\u4e8e\u7ecf\u6d4e\u8106\u5f31\u548c\u4fdd\u969c\u8584\u5f31\u7fa4\u4f53<\/h3>\n\n\n\n<p><strong>\u66f4\u503c\u5f97\u5173\u6ce8\u7684\u662f\uff0c\u5c45\u6c11\u533b\u4fdd\u53c2\u4fdd\u6d41\u5931\u66f4\u591a\u51fa\u73b0\u5728\u4f4e\u6536\u5165\u3001\u591a\u4eba\u53e3\u3001\u6536\u5165\u4e0d\u7a33\u5b9a\u4ee5\u53ca\u793e\u4f1a\u4fdd\u969c\u6c34\u5e73\u76f8\u5bf9\u8f83\u4f4e\u7684\u5bb6\u5ead<\/strong><sup>[9]<\/sup>\u3002\u76f8\u5173\u8c03\u67e5\u8fdb\u4e00\u6b65\u5370\u8bc1\u4e86\u8fd9\u4e00\u7279\u70b9\u3002\u67d0\u5e02\u672a\u53c2\u4fdd\u4eba\u7fa4\u4e2d\uff0c58.67%\u7684\u53d7\u8bbf\u8005\u6708\u6536\u5165\u4e0d\u8d85\u8fc72000\u5143\uff0c36.67%\u5c06\u201c\u7f34\u8d39\u6c34\u5e73\u8f83\u9ad8\u201d\u5217\u4e3a\u672a\u53c2\u4fdd\u539f\u56e0<sup>[10]<\/sup>\u3002\u6e56\u5357\u7701\u533b\u7597\u4fdd\u969c\u5c402024\u5e74\u7684\u95ee\u5377\u8c03\u67e5\u663e\u793a\uff0c74.4%\u7684\u53d7\u8bbf\u8005\u5c06\u201c\u6536\u5165\u8f83\u5c11\u3001\u7f34\u8d39\u56f0\u96be\u201d\u5217\u4e3a\u9996\u8981\u56e0\u7d20<sup>[11]<\/sup>\u3002\u4e0a\u8ff0\u8bc1\u636e\u8868\u660e\uff0c\u672a\u53c2\u4fdd\u73b0\u8c61\u4e0e\u5bb6\u5ead\u6536\u5165\u3001\u4eba\u53e3\u89c4\u6a21\u548c\u652f\u4ed8\u80fd\u529b\u5bc6\u5207\u76f8\u5173\u3002<\/p>\n\n\n\n<p><strong>\u4e0d\u540c\u4eba\u7fa4\u9762\u4e34\u7684\u7ea6\u675f\u6709\u6240\u5dee\u5f02<\/strong>\u3002\u7b2c\u4e00\uff0c\u4f4e\u6536\u5165\u548c\u591a\u4eba\u53e3\u5bb6\u5ead\u66f4\u5bb9\u6613\u53d7\u5230\u5bb6\u5ead\u603b\u7f34\u8d39\u8d1f\u62c5\u7684\u5f71\u54cd<sup>[7,12]<\/sup>\u3002\u7b2c\u4e8c\uff0c\u4e3b\u8981\u4f9d\u9760\u57ce\u4e61\u5c45\u6c11\u57fa\u672c\u517b\u8001\u4fdd\u9669\u5f85\u9047\u751f\u6d3b\u7684\u8001\u5e74\u4eba\uff0c\u9762\u4e34\u533b\u4fdd\u7740\u4e2a\u4eba\u7f34\u8d39\u4e0a\u6da8\u4e0e\u6536\u5165\u589e\u957f\u6709\u9650\u4e4b\u95f4\u7684\u4e0d\u5339\u914d\u3002\u76f8\u5173\u7814\u7a76\u53d1\u73b0\uff0c\u8001\u5e74\u5c45\u6c11\u53c2\u4fdd\u7387\u4f1a\u968f\u7f34\u8d39\u6807\u51c6\u63d0\u9ad8\u800c\u4e0b\u964d\uff0c\u63d0\u793a\u5176\u6301\u7eed\u53c2\u4fdd\u5bf9\u7f34\u8d39\u6c34\u5e73\u8f83\u4e3a\u654f\u611f<sup>[13]<\/sup>\u3002\u7b2c\u4e09\uff0c\u4f4e\u4fdd\u5bf9\u8c61\u3001\u7279\u56f0\u4eba\u5458\u53ca\u5176\u4ed6\u56f0\u96be\u7fa4\u4f53\u7684\u53c2\u4fdd\u80fd\u529b\uff0c\u8f83\u5927\u7a0b\u5ea6\u53d6\u51b3\u4e8e\u53c2\u4fdd\u8d44\u52a9\u80fd\u5426\u53ca\u65f6\u3001\u5145\u5206\u843d\u5b9e\uff0c\u4ee5\u53ca\u5730\u533a\u95f4\u8d44\u52a9\u6807\u51c6\u80fd\u5426\u8986\u76d6\u5176\u5b9e\u9645\u56f0\u96be<sup>[14]<\/sup>\u3002\u6b64\u5916\uff0c\u90e8\u5206\u6536\u5165\u6ce2\u52a8\u8f83\u5927\u3001\u5c31\u4e1a\u72b6\u6001\u9891\u7e41\u53d8\u5316\u7684\u7075\u6d3b\u5c31\u4e1a\u4eba\u5458\uff0c\u867d\u7136\u5df2\u53ef\u5728\u5c31\u4e1a\u5730\u6216\u5e38\u4f4f\u5730\u53c2\u4fdd<sup>[15]<\/sup>\uff0c\u4f46\u4ecd\u53ef\u80fd\u9762\u4e34\u7f34\u8d39\u80fd\u529b\u548c\u8fde\u7eed\u53c2\u4fdd\u538b\u529b<sup>[16,17]<\/sup>\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u4e8c\u3001\u5c45\u6c11\u533b\u4fdd\u53c2\u4fdd\u4eba\u6570\u4e0b\u964d\u7684\u7ed3\u6784\u6027\u56e0\u7d20<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\uff08\u4e00\uff09\u4e2a\u4eba\u7f34\u8d39\u8f83\u5feb\u589e\u957f\uff0c\u5b9a\u989d\u7b79\u8d44\u7684\u7d2f\u9000\u6027\u9010\u6b65\u663e\u73b0<\/h3>\n\n\n\n<p><strong>\u5c45\u6c11\u533b\u4fdd\u5b9e\u884c\u5b9a\u989d\u7f34\u8d39\uff0c\u968f\u7740\u4e2a\u4eba\u7f34\u8d39\u6807\u51c6\u6301\u7eed\u63d0\u9ad8\uff0c\u5176\u5bf9\u4f4e\u6536\u5165\u7fa4\u4f53\u5f62\u6210\u7684\u76f8\u5bf9\u8d1f\u62c5\u5dee\u5f02\u65e5\u76ca\u660e\u663e\u3002<\/strong>\u4ece2003\u5e74\u65b0\u578b\u519c\u6751\u5408\u4f5c\u533b\u7597\u5236\u5ea6\u5efa\u7acb\uff0c\u5230\u57ce\u4e61\u5c45\u6c11\u57fa\u672c\u533b\u7597\u4fdd\u9669\u5236\u5ea6\u9010\u6b65\u6574\u5408\u5b9e\u65bd\uff0c\u519c\u6751\u5c45\u6c11\u4e2a\u4eba\u6700\u4f4e\u7f34\u8d39\u6807\u51c6\u7531\u6bcf\u4eba\u6bcf\u5e7410\u5143\u63d0\u9ad8\u81f32025\u5e74\u7684400\u5143\uff08\u56fe2\uff09\u3002\u540c\u671f\uff0c\u519c\u6751\u5c45\u6c11\u6536\u5165\u867d\u6301\u7eed\u589e\u957f\uff0c\u4f46\u4e2a\u4eba\u7f34\u8d39\u5360\u6536\u5165\u7684\u6bd4\u91cd\u4ecd\u660e\u663e\u4e0a\u5347\u3002\u65b0\u519c\u5408\u671f\u95f4\uff0c\u5404\u5730\u666e\u904d\u5efa\u7acb\u519c\u6751\u533b\u7597\u6551\u52a9\u5236\u5ea6\uff0c\u8d44\u52a9\u8d2b\u56f0\u519c\u6c11\u53c2\u52a0\u65b0\u519c\u5408\uff0c\u5373\u514d\u8d39\u53c2\u4fdd\u3002\u800c\u5c45\u6c11\u533b\u4fdd\u4e2a\u4eba\u7f34\u8d39\u5360\u519c\u6751\u5c45\u6c11\u4eba\u5747\u53ef\u652f\u914d\u6536\u5165\u7684\u6bd4\u4f8b\u75312003\u5e74\u7684\u7ea60.4%\u5347\u81f32024\u5e74\u7684\u7ea61.7%\uff0c\u8868\u660e\u519c\u6751\u5c45\u6c11\u53c2\u4fdd\u7684\u76f8\u5bf9\u7ecf\u6d4e\u8d1f\u62c5\u4e0d\u65ad\u589e\u52a0\u3002<\/p>\n\n\n\n<p>\u6536\u5165\u5206\u7ec4\u8fdb\u4e00\u6b65\u663e\u793a\uff0c\u5b9a\u989d\u7f34\u8d39\u5bf9\u4f4e\u6536\u5165\u7fa4\u4f53\u7684\u5f71\u54cd\u66f4\u4e3a\u7a81\u51fa\u3002\u5bf9\u4e8e\u519c\u6751\u6700\u4f4e\u6536\u516520%\u4eba\u7fa4\uff0c\u4e2a\u4eba\u7f34\u8d39\u5360\u5176\u4eba\u5747\u53ef\u652f\u914d\u6536\u5165\u7684\u6bd4\u4f8b\u75312003\u5e74\u7684\u7ea61.2%\u5347\u81f32024\u5e74\u76847.4%\uff1b\u800c\u5728\u6700\u9ad8\u6536\u516520%\u4eba\u7fa4\u4e2d\uff0c\u8be5\u6bd4\u4f8b\u59cb\u7ec8\u4f4e\u4e8e1%\uff08\u56fe2\uff09\u3002\u8d22\u653f\u8865\u52a9\u6807\u51c6\u540c\u671f\u6301\u7eed\u63d0\u9ad8\uff0c\u4f46\u589e\u5e45\u4f4e\u4e8e\u4e2a\u4eba\u7f34\u8d39\u30022019\u20142025\u5e74\uff0c\u4e2a\u4eba\u7f34\u8d39\u6807\u51c6\u7531250\u5143\u63d0\u9ad8\u81f3400\u5143\uff0c\u589e\u957f60%\uff1b\u8d22\u653f\u8865\u52a9\u6807\u51c6\u7531520\u5143\u63d0\u9ad8\u81f3700\u5143\uff0c\u589e\u957f\u7ea635%<sup>[3,18]<\/sup>\uff0c\u4e2a\u4eba\u7f34\u8d39\u589e\u957f\u5feb\u4e8e\u8d22\u653f\u8865\u52a9\u589e\u957f\uff0c\u5c45\u6c11\u627f\u62c5\u7684\u7b79\u8d44\u8d23\u4efb\u4e0d\u65ad\u589e\u52a0\u3002<\/p>\n\n\n\n<p><br>\u5bb6\u5ead\u4eba\u53e3\u89c4\u6a21\u8fdb\u4e00\u6b65\u653e\u5927\u4e86\u8fd9\u4e00\u8d1f\u62c5\u3002\u5bf9\u4e8e\u6709\u591a\u540d\u53c2\u4fdd\u6210\u5458\u7684\u519c\u6751\u5bb6\u5ead\uff0c\u6309\u4eba\u7f34\u8d39\u5c06\u7d2f\u79ef\u4e3a\u8f83\u9ad8\u7684\u5bb6\u5ead\u603b\u652f\u51fa\u3002\u4f8b\u5982\uff0c\u6cb3\u5317\u4e00\u4e2a\u56db\u81f3\u516b\u4eba\u7684\u5bb6\u5ead\uff0c\u5168\u5bb6\u5e74\u5ea6\u53c2\u4fdd\u8d39\u7528\u53ef\u8fbe1600\u20143000\u5143\uff0c\u53ef\u80fd\u63a5\u8fd1\u90e8\u5206\u4f4e\u6536\u5165\u5bb6\u5ead\u4e00\u4e2a\u6708\u7684\u6536\u5165\uff0c\u5bb6\u5ead\u4eba\u53e3\u89c4\u6a21\u4f1a\u653e\u5927\u6309\u4eba\u7f34\u8d39\u5f62\u6210\u7684\u7ecf\u6d4e\u538b\u529b\uff0c\u4e5f\u4e0d\u5229\u4e8e\u5c45\u6c11\u533b\u4fdd\u7b79\u8d44\u516c\u5e73\u6027\u7684\u5b9e\u73b0<sup>[19]<\/sup>\u3002\u5728\u5c45\u6c11\u533b\u4fdd\u5b9e\u884c\u5e74\u5ea6\u7f34\u8d39\u3001\u53c2\u4fdd\u5177\u6709\u4e00\u5b9a\u81ea\u4e3b\u9009\u62e9\u7a7a\u95f4\u7684\u60c5\u51b5\u4e0b\uff0c\u4e2a\u4eba\u7f34\u8d39\u6301\u7eed\u4e0a\u6da8\u53ef\u80fd\u524a\u5f31\u4f4e\u6536\u5165\u548c\u591a\u4eba\u53e3\u5bb6\u5ead\u7684\u6301\u7eed\u53c2\u4fdd\u80fd\u529b\uff0c\u589e\u52a0\u4e2d\u65ad\u53c2\u4fdd\u98ce\u9669\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/newstatic.dukekunshan.edu.cn\/globalhealth\/2026\/08\/23225859\/%E5%9B%BE2-v2-1-scaled.png\" alt=\"\" class=\"wp-image-18187\" style=\"width:588px;height:auto\"\/><figcaption class=\"wp-element-caption\">\u56fe2 .&nbsp;\u4e2d\u56fd\u519c\u6751\u5c45\u6c11\u57fa\u672c\u533b\u7597\u4fdd\u9669\u4e2a\u4eba\u7f34\u8d39\u8d1f\u62c5\u53d8\u5316\uff082003-2024\uff09<\/figcaption><\/figure>\n\n\n\n<p class=\"has-cyan-bluish-gray-color has-text-color has-link-color has-small-font-size wp-elements-4e0f0058bdd4c51f2dfe424a9a17e91d\"><strong>\u6ce8\uff1a<\/strong>2003\u20142015\u5e74\u91c7\u7528\u65b0\u578b\u519c\u6751\u5408\u4f5c\u533b\u7597\u4e2a\u4eba\u7f34\u8d39\u6807\u51c6\uff0c2016\u5e74\u53ca\u4ee5\u540e\u91c7\u7528\u6574\u5408\u540e\u7684\u57ce\u4e61\u5c45\u6c11\u57fa\u672c\u533b\u7597\u4fdd\u9669\u4e2a\u4eba\u7f34\u8d39\u6807\u51c6\u3002\u201c\u4f4e\u6536\u5165\u7ec4\u201d\u548c\u201c\u9ad8\u6536\u5165\u7ec4\u201d\u5206\u522b\u4e3a\u519c\u6751\u5c45\u6c11\u6536\u5165\u4e94\u7b49\u5206\u7ec4\u4e2d\u7684\u6700\u4f4e\u548c\u6700\u9ad8\u6536\u5165\u7ec4\uff0c\u8d8b\u52bf\u7ebf\u8868\u793a\u4e2a\u4eba\u7f34\u8d39\u5360\u76f8\u5e94\u6536\u5165\u7ec4\u5e74\u4eba\u5747\u53ef\u652f\u914d\u6536\u5165\u7684\u6bd4\u91cd\u3002\u6570\u636e\u6765\u6e90\u4e8e\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u3001\u56fd\u5bb6\u533b\u7597\u4fdd\u969c\u5c40\u548c\u56fd\u5bb6\u7edf\u8ba1\u5c40\u516c\u5e03\u7684\u76f8\u5173\u6700\u65b0\u6570\u636e\u53ca\u7edf\u8ba1\u5e74\u9274\uff1b\u56e02025\u5e74\u5c45\u6c11\u6536\u5165\u7edf\u8ba1\u6570\u636e\u5c1a\u672a\u53d1\u5e03\uff0c\u6570\u636e\u622a\u81f32024\u5e74\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\uff08\u4e8c\uff09\u517b\u8001\u91d1\u4e0e\u4fdd\u8d39\u7684\u201c\u526a\u5200\u5dee\u201d\u6324\u538b\u8001\u5e74\u7fa4\u4f53\u7684\u53c2\u4fdd\u7a7a\u95f4<\/h3>\n\n\n\n<p><strong>\u8f83\u4e3a\u7edf\u4e00\u7684\u5b9a\u989d\u7f34\u8d39\u8981\u6c42\u4e0e\u5730\u533a\u95f4\u5dee\u5f02\u8f83\u5927\u7684\u517b\u8001\u4fdd\u969c\u6c34\u5e73\u76f8\u53e0\u52a0\uff0c\u4f7f\u90e8\u5206\u4f4e\u6536\u5165\u8001\u5e74\u4eba\u627f\u62c5\u7740\u660e\u663e\u9ad8\u4e8e\u5176\u4ed6\u7fa4\u4f53\u7684\u76f8\u5bf9\u7f34\u8d39\u8d1f\u62c5\uff0c\u4e5f\u589e\u52a0\u4e86\u7ecf\u6d4e\u6b20\u53d1\u8fbe\u5730\u533a\u7a33\u5b9a\u8001\u5e74\u7fa4\u4f53\u53c2\u4fdd\u7684\u96be\u5ea6\u3002<\/strong>\u5982\u56fe3\u6240\u793a\uff0c\u5728\u591a\u4e2a\u7701\u4efd\uff0c\u5c45\u6c11\u533b\u4fdd\u7684\u5e74\u7f34\u8d39\u989d\u76f8\u5f53\u4e8e\u57fa\u7840\u517b\u8001\u91d1\u6708\u6807\u51c6\u7684\u6570\u500d\u3002\u5409\u6797\u7701\u7684\u5e74\u7f34\u8d39\u989d\u7ea6\u4e3a\u5f53\u5730\u6708\u57fa\u7840\u517b\u8001\u91d1\u7684266.2%\uff0c\u9655\u897f\u7701\u7ea6\u4e3a245.4%\u3002\u8fd9\u610f\u5473\u7740\uff0c\u4e00\u4f4d\u4ec5\u4f9d\u9760\u57fa\u7840\u517b\u8001\u91d1\u751f\u6d3b\u7684\u8001\u5e74\u4eba\uff0c\u9700\u8981\u62ff\u51fa\u8fd1\u4e09\u4e2a\u6708\u7684\u57fa\u7840\u517b\u8001\u91d1\u624d\u80fd\u5b8c\u6210\u4e00\u5e74\u7684\u533b\u4fdd\u7f34\u8d39\u3002\u867d\u7136\u57fa\u7840\u517b\u8001\u91d1\u5e76\u975e\u8001\u5e74\u5c45\u6c11\u7684\u5168\u90e8\u5bb6\u5ead\u6536\u5165\uff0c\u4f46\u5e74\u5ea6\u4fdd\u8d39\u4e00\u6b21\u6027\u7f34\u7eb3\uff0c\u5360\u5176\u5b9a\u671f\u73b0\u91d1\u6536\u5165\u7684\u6bd4\u4f8b\u8f83\u9ad8\u3002\u5bf9\u4e8e\u72ec\u5c45\u3001\u4f4e\u6536\u5165\u6216\u5bb6\u5ead\u652f\u6301\u6709\u9650\u7684\u8001\u5e74\u4eba\uff0c\u6301\u7eed\u53c2\u4fdd\u53ef\u80fd\u9762\u4e34\u66f4\u5927\u56f0\u96be\u3002<\/p>\n\n\n\n<p>\u5df2\u6709\u7814\u7a76\u4f30\u8ba1\uff0c\u5f53\u4e2a\u4eba\u5e74\u7f34\u8d39\u8d85\u8fc7450\u5143\u65f6\uff0c\u4e00\u4e9b\u5730\u533a\u8001\u5e74\u5c45\u6c11\u53c2\u4fdd\u7387\u53ef\u80fd\u964d\u81f390%\u4ee5\u4e0b<sup>[13]<\/sup>\u3002\u8be5\u7ed3\u679c\u867d\u4e0d\u80fd\u76f4\u63a5\u5916\u63a8\u81f3\u5168\u56fd\uff0c\u4f46\u63d0\u793a\u4e2a\u4eba\u7f34\u8d39\u6301\u7eed\u63d0\u9ad8\u53ef\u80fd\u524a\u5f31\u90e8\u5206\u8001\u5e74\u7fa4\u4f53\u7684\u53c2\u4fdd\u53ef\u8d1f\u62c5\u6027\uff0c\u5e76\u589e\u52a0\u53c2\u4fdd\u4e2d\u65ad\u98ce\u9669<sup>[9]<\/sup>\u3002<\/p>\n\n\n\n<p>\u8fd9\u4e00\u95ee\u9898\u8fd8\u5448\u73b0\u51fa\u660e\u663e\u7684\u533a\u57df\u5dee\u5f02\u3002\u5728\u4e2d\u897f\u90e8\u591a\u6570\u7701\u4efd\uff0c\u5e74\u7f34\u8d39\u989d\u76f8\u5f53\u4e8e\u6708\u57fa\u7840\u517b\u8001\u91d1\u7684\u4e24\u500d\u4ee5\u4e0a\uff1b\u800c\u5728\u5317\u4eac\u3001\u4e0a\u6d77\u7b49\u7ecf\u6d4e\u53d1\u8fbe\u5730\u533a\uff0c\u5e74\u7f34\u8d39\u989d\u4ec5\u4e3a\u6708\u57fa\u7840\u517b\u8001\u91d1\u768450%\u5de6\u53f3\u3002\u4e24\u7c7b\u5730\u533a\u8001\u5e74\u4eba\u7684\u76f8\u5bf9\u7f34\u8d39\u8d1f\u62c5\u76f8\u5dee\u7ea64\u500d\u3002\u7edf\u4e00\u7684\u7f34\u8d39\u6807\u51c6\u4e0e\u5dee\u5f02\u5de8\u5927\u7684\u517b\u8001\u91d1\u6c34\u5e73\u76f8\u7ed3\u5408\uff0c\u5bfc\u81f4\u7ecf\u6d4e\u6b20\u53d1\u8fbe\u5730\u533a\u7684\u8001\u5e74\u7fa4\u4f53\u627f\u53d7\u7740\u66f4\u9ad8\u7684\u7f34\u8d39\u538b\u529b\u3002<\/p>\n\n\n\n<p>\u9488\u5bf9\u8fd9\u4e00\u95ee\u9898\uff0c\u56fd\u5185\u90e8\u5206\u5730\u533a\u5df2\u5f00\u59cb\u63a2\u7d22\u8001\u5e74\u5c45\u6c11\u533b\u4fdd\u7f34\u8d39\u51cf\u514d\u653f\u7b56\u3002\u4f8b\u5982\uff0c\u5c71\u4e1c\u6ed5\u5dde\u5bf960\u201469\u5468\u5c81\u8001\u5e74\u4eba\u5b9e\u884c\u5c45\u6c11\u533b\u4fdd\u4e2a\u4eba\u7f34\u8d39\u51cf\u534a\uff0c\u5bf970\u5468\u5c81\u4ee5\u4e0a\u8001\u5e74\u4eba\u5b9e\u884c\u5168\u989d\u8d44\u52a9\uff1b\u5c71\u897f\u6c81\u6e90\u5219\u5c06\u5c45\u6c11\u533b\u4fdd\u5168\u989d\u8d44\u52a9\u8303\u56f4\u6269\u5927\u81f360\u5468\u5c81\u4ee5\u4e0a\u8001\u5e74\u4eba<sup>[20,21]<\/sup>\u3002 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2025-2026\u5e74\u5ea6\u57ce\u4e61\u5c45\u6c11\u533b\u4fdd\u4e2a\u4eba\u7f34\u8d39\u4e0e\u8001\u5e74\u4eba\u6708\u57fa\u7840\u517b\u8001\u91d1\u5bf9\u6bd4\uff08\u90e8\u5206\u5730\u533a\uff09<\/figcaption><\/figure>\n\n\n\n<p class=\"has-cyan-bluish-gray-color has-text-color has-link-color has-small-font-size wp-elements-0840e8b3833aec71dc390f797f433704\"><strong>\u6ce8\uff1a<\/strong>\u200b&nbsp;\u533b\u4fdd\u7f34\u8d39\u4e3a2026\u5f85\u9047\u5e74\uff082025\u5e74\u79cb\u96c6\u4e2d\u5f81\u7f34\uff09\u666e\u901a\u5c45\u6c11\u6807\u51c6\uff1b\u57fa\u7840\u517b\u8001\u91d1\u6570\u989d\u6307\u519c\u6751\u5c45\u6c11\u6bcf\u6708\u53ef\u9886\u53d6\u7684\u6700\u4f4e\u57fa\u7840\u517b\u8001\u91d1\uff08\u4e0d\u542b\u4e2a\u4eba\u8d26\u6237\u548c\u9ad8\u9f84\u8865\u8d34\uff09\uff0c\u7edf\u4e00\u75282025\u5e747\u67081\u65e5\u8d77\u6267\u884c\u53e3\u5f84\u3002\u6570\u636e\u6765\u6e90\u4e8e\u5404\u5730\u533b\u7597\u4fdd\u969c\u7edf\u8ba1\u516c\u62a5\u53ca\u8d22\u653f\u3001\u4eba\u793e\u90e8\u95e8\u5b98\u65b9\u7f51\u7ad9\u3002\u767e\u5206\u6bd4\u6570\u503c\u7b49\u4e8e\u57ce\u4e61\u5c45\u6c11\u533b\u4fdd\u5e74\u5ea6\u4e2a\u4eba\u7f34\u8d39\u91d1\u989d\/\u6708\u57fa\u7840\u517b\u8001\u91d1*100%\u3002<\/p>\n\n\n\n<h3 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basic medical insurance governance has increasingly shifted from expanding coverage to stabilising enrolment, improving the quality of participation, and strengthening financing arrangements. Nevertheless, enrolment in the Urban\u2013Rural Resident Basic Medical Insurance (URRBMI) scheme has continued to decline, posing a growing challenge to the sustainability of universal health coverage. Although China&#8217;s basic medical insurance system still covers approximately 1.33 billion people, URRBMI enrolment fell from about 1.02 billion in 2019 to 942 million in 2025\u2014a cumulative decline of about 83 million. Based on the total population, the estimated national basic medical insurance coverage rate has also fallen below 95% in recent years.<\/p>\n\n\n\n<p>Drawing on statistical data, policy documents, and published literature, this policy analysis examines changes in URRBMI enrolment and identifies three structural factors underlying the decline. First, flat-rate contributions have increasingly generated regressive financial burdens, disproportionately affecting low-income rural households. Second, rising premiums have outpaced the income growth of many older adults who rely primarily on modest basic pensions, reducing the affordability of continued enrolment. Third, substantial regional variation in both the generosity and eligibility criteria of medical assistance subsidies has weakened financial protection for vulnerable populations. Policy options include full premium subsidies for recipients of the minimum living allowance, graduated subsidies for other low-income groups, reduced premium contributions for low-income rural older adults, and strengthened central fiscal equalisation together with improved central\u2013local financing arrangements for the URRBMI scheme. These measures could help stabilise enrolment and strengthen the equity and long-term sustainability of universal health coverage during China&#8217;s 15th Five-Year Plan period.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"has-cyan-bluish-gray-color has-text-color has-link-color 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