整合卫生计生服务与老龄工作，促进亿万家庭福祉

曾毅+胡鞍钢

摘 要：我国面临两大人口安全问题：一方面人口快速老化但基本养老保障薄弱，而缺乏健全社会养老保障，使得农民养儿防老现实需求很高，在很大程度上导致了另一方面出生性别比超常偏高。但是这两个密切相关的重大人口安全问题却由

卫生和计划生育委员会

与老龄委分而治之，难以有效发动群众、整合资源和提高效率。因此，我們建议：尽快将老龄工作系统并入

卫生计生服务

系统，尽快将国家卫生和计划生育委员会更名为“国家健康与家庭福祉委员会”，新机构的主要职能是全民健康、计划生育、医疗康复养老结合的老龄服务和家庭发展；建议鼓励支持成年子女与老人同住或邻近居住，既有利于应对人口老龄化严峻挑战和改善家庭福祉，又可以减少因小家庭户数大幅增加而导致的能源消费较快膨胀，有利于环境保护和可持续发展。

关键词：人口安全问题；人口老龄化；出生性别比；健康与家庭福祉；减少能源消费

中图分类号：C913.6 文献标识码：A 文章编号：1000-4149（2017）04-0036-07

DOI：10.3969/j.issn.1000-4149.2017.04.004

Integrate Administrations of Health， Family Planning， and Population Aging，

to Promote Well-being of Billions Families

ZENG Yi1，2， HU Angang3

1. National School of Development/Raissun Institute for Advanced Studies， Peking University，

Beijing 100071， China； 2. Center for Study of Aging and Human Development and Geriatrics

Division， School of Medicine， Duke University， Durham 27710 NC， USA； 3. School of

Economics and Management， Tsinghua University， Beijing 100871， China）

Abstract：China has been exposed to two major population-safety problems： 1） the rapid population aging without good social security system especially in rural areas， which leads to farmers high demands of old age support from their sons， and consequently at least to a large extent caused another major problem： 2） abnormally high sex ratio at birth. These two major problems are highly correlated each other， but they are currently administratively managed by two independent governmental agencies of National Health & Family Planning Commission and National Committee on Aging. Such administrative system makes it hard to efficiently mobilize the public and uneasy to fully utilize the available resources. Thus， we propose a reform to integrate the national and local aging committee network into health and family planning system， and establish the National Health and Family Welfare Commission as soon as possible. The new national commissions main administrative work responsibility will be nationwide citizens health， family planning， old ages services， and family well-being development including population aging works. We also suggest to adopt a policy of encouraging adult children living with or nearby their old parents， which may not only be helpful to face the serious challenge of rapid population aging， but also can contribute to environment protection and sustainable development by reducing energy consumption caused by increasing numbers of small nuclear households and empty-nested elderly.endprint