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芬兰医疗卫生事业的组织管理及资金筹集一直是由基层政府部门(461个市、平均人口为11000人左右)负责的:而北欧其他国家则由县或省政府负责。中央政府按各市的收入情况支付一定比例的津贴。以1982年为例,中央政府平均补助各公社医疗卫生总支出的44.3％,各公社承担28.6％,全国健康保险机构支付11％,而个人直接支付的医疗费约占16％。以医疗开支情况来衡量,各地区医疗设施比较公平合理,在各中心医院区之间无明显差异。过去及今后的整个医疗卫生开支都维特低水平——占国民生产总值的6.5—7％。在芬兰,由各公社参与管理医疗卫生事业被认为是控制经费开支及发展有效率的医疗体系的良好基础。
The organization, management, and fundraising of Finland’s medical and health undertakings have always been the responsibility of grass-roots government agencies (461 cities, with an average population of about 11,000): while other countries in northern Europe are responsible for the county or provincial government. The central government pays a certain percentage of subsidies according to the income of each city. In 1982, for example, the central government subsidized an average of 44.3% of the total health expenditures of the communes, each communes assumed 28.6%, the national health insurance agencies paid 11%, and the individual directly paid medical expenses accounted for about 16%. In terms of medical expenditure, the medical facilities in various regions were relatively fair and reasonable, with no significant differences among the central hospital districts. The entire health care expenditure in the past and in the future has a low level of Witt – 6.5-7% of GNP. In Finland, the participation of communes in the management of health care is considered to be a good basis for controlling expenditures and developing an efficient medical system.