摘要
目的:分析2010—2019年山东省卫生总费用结构变化情况,把握卫生总费用来源构成变化趋势,为进一步完善医改政策提供依据。方法:应用结构变动度的解析方法,从卫生总费用相关指标、来源构成绝对值和占比等方面进行分析。结果:2010-2019年,山东省卫生总费用相关指标均呈正向变动趋势,政府、社会和个人卫生支出的构成绝对值都呈增长趋势;在山东省卫生总费用来源构成占比中,政府和个人卫生占比呈减少趋势,社会卫生占比呈增长趋势;社会卫生支出结构贡献率最高。结论:山东省卫生总费用过快增长侵蚀了医改发展红利,医疗保障制度改革是影响卫生总费用的重要因素。
Objective:To analyze the change of total health expenditure structure in Shandong Province from 2010 to 2019,and grasp the change trend of total health expenditure(THE)source composition,so as to provide a basis for further improving medical reform policies.Methods:The indicators of structural variation is applied to conduct the analysis from absolute value and proportion of source components and the related indicators in THE.Results:From 2010 to 2019,the THE related indicators in Shandong showed a positive trend,while the proportion of government health expenditure,social expenditure and out of pocket showed a negative trend of change.The proportion of social health expenditure showed increasing trend.Social health expenditure structure contributed the most.Conclusion:The rapid growth of total health expenditure in Shandong province erods the development dividend of medical reform.The reform of medical security system is an important factor affecting total health expenditure.
作者
刘峥
刘棣俭
王培承
LIU Zheng;LIU Di-Jian;WANG Pei-cheng(Weifang Medical Insurance Center,Weifang,Shandong,261061,China;不详)
出处
《中国卫生经济》
北大核心
2022年第6期15-18,共4页
Chinese Health Economics
关键词
卫生总费用
结构变动度
卫生体制改革
医疗保障
山东
total health expenditure
structural variation
health care reform
medical insurance
Shandong
