摘要
目的:核算2016年全国卫生总费用,分析我国卫生筹资现状以及党的十八大以来卫生总费用变化情况,结合卫生筹资存在的问题,提出有针对性的政策建议。方法:采用来源法和机构法核算卫生费用,并采用时间序列的指标分析法研究我国卫生总费用变化情况。结果:2016年中国卫生总费用为46 344.88亿元,占GDP比重为6.23%,人均卫生总费用为3351.74元。其中,个人卫生支出占卫生总费用比重降至28.78%,政府卫生支出占比降至30.01%,社会卫生支出占比升至41.21%。2012年以来,我国卫生总费用年均增长速度为12.11%。结论:2012年以来,我国卫生总费用增长速度放缓,卫生筹资结构持续优化,但个人卫生支出占比进一步下降面临挑战,仍需完善社会医疗保障网,提升群众获得感。
Objective： To estimate China＇s total health expenditure（THE） in 2016, analyze the current status of health financing, and the changes in THE since the 18th National Congress of the Communist Party of China（since 2012）, and propose targeted sugges- tions for health financing policy. Methods： Health expenditure accounting methods by financing source and by health provider were applied and index analysis method based on time series data was used to examine the changing trend of THE in China. Results： Chi- na＇s THE in 2016 was 4 634.49 billion yuan, accounting for 6.23% of GDP, and per capita health expenditure was 3 351.74 yuan. The proportion of household out-of-pocket（OOP） in THE decreased to 28.78%. The share of government health expenditure dropped to 30.01%, while the share of social health expenditure increased to 41.21%. Since 2012, the annual growth rate of THE was 12.11%. Conclusion： Since 2012, the growth rate of THE was slowed down, and the structure of health financing continued to be op- timized. However, the further decline in the share of OOP was facing challenges. In the future, it was still necessary to improve the so- cial medical security network and enhance residents＇ sense of gain.
出处
《中国卫生经济》
北大核心
2018年第5期5-8,共4页
Chinese Health Economics
关键词
卫生筹资
卫生总费用
政府卫生支出
个人卫生支出
社会卫生筹资
health financing
total health expenditure
government health expenditure
out-of-pocket
social health expenditure
