The financing of public health systems and services relies on a complex and fragmented web of partners and funding priorities. Both underfunding and “dys-funding” contribute to preventable mortality, increases in disease frequency and severity, and hindered social and economic growth. These issues were both illuminated and magnified by the COVID-19 pandemic and associated responses. Further complicating issues is the difficulty in constructing adequate estimates of current public health resources and necessary resources. Each of these challenges inhibits the delivery of necessary services, leads to inequitable access and resourcing, contributes to resource volatility, and presents other deleterious outcomes. However, actions may be taken to defragment complex funding paradigms toward more flexible spending, to modernize and standardize data systems, and to assure equitable and sustainable public health investments.Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

中文翻译：

---

当代公共卫生金融：不同的定义、模式和含义

公共卫生系统和服务的融资依赖于复杂且分散的合作伙伴网络和融资优先事项。资金不足和“资金不足”都会导致可预防的死亡、疾病频率和严重程度的增加，并阻碍社会和经济增长。 COVID-19 大流行及相关应对措施凸显并放大了这些问题。使问题进一步复杂化的是对当前公共卫生资源和必要资源进行充分估计的困难。这些挑战中的每一个都阻碍了必要服务的提供，导致获取和资源的不公平，导致资源波动，并带来其他有害结果。然而，可以采取行动对复杂的筹资模式进行整理，以实现更灵活的支出，实现数据系统的现代化和标准化，并确保公平和可持续的公共卫生投资。《公共卫生年度回顾》第 45 卷的预计最终在线发布日期是 4 月2024 年。请参阅 http://www.annualreviews.org/page/journal/pubdates 了解修订后的估计。