CAJ | 학술논문

目的:通过卫生总费用核算结果,分析医改以来中国卫生筹资特征与变化趋势.方法:参考国民经济核算制度,卫生部卫生发展研究中心建立了卫生费用核算制度,分初步核算和最终核算采用专门的方法测算卫生总费用,并对初步核算方法可行性进行验证.结果:初步核算具有很高的准确度,可用于卫生政策分析与决策,从而显著提高了卫生总费用政策时效性.最终核算结果显示,2011年中国卫生总费用为24345.91亿元,占GDP比重为5.15%,其中政府卫生支出比重超过30%,个人卫生支出占比下降到35%以下.结论:医改以来政府卫生投入力度明显加大,投入重点向基本医疗保险和基层卫生机构倾斜,符合医改文件提出的要求;居民个人现金卫生支出比重持续下降,卫生筹资结构明显改善.
목적:통과위생총비용핵산결과,분석의개이래중국위생주자특정여변화추세.방법:삼고국민경제핵산제도,위생부위생발전연구중심건립료위생비용핵산제도,분초보핵산화최종핵산채용전문적방법측산위생총비용,병대초보핵산방법가행성진행험증.결과:초보핵산구유흔고적준학도,가용우위생정책분석여결책,종이현저제고료위생총비용정책시효성.최종핵산결과현시,2011년중국위생총비용위24345.91억원,점GDP비중위5.15%,기중정부위생지출비중초과30%,개인위생지출점비하강도35%이하.결론:의개이래정부위생투입력도명현가대,투입중점향기본의료보험화기층위생궤구경사,부합의개문건제출적요구;거민개인현금위생지출비중지속하강,위생주자결구명현개선.
Objective: Through using results of national health accounts, to analyze China health care financing characteristic and trend. Methods: Based on System of National Account, National Health Development Research Center ( NHDRC) established a multiple-stage system of health expenditure accounting in China, which mainly includes the preliminary health expenditure accounting and the final health expenditure accounting, and the feasibility of preliminary health expenditure accounting has also been tested. Results: The preliminary health expenditure accounting has been proved a high degree of accuracy and can be used for health policy analysis and decision-making with better timeliness. Final health accounting estimates show China total expenditure on health (CTEH) in 2011 was 24 345.91 billion RMB, equivalent to 5.15%of GDP. Of the CTEH in 2011, the share of government health expenditure has exceeded 30% and OOP has dropped below 35%. Conclusion: Since the new round health care reform, government health input has significantly increased, and mainly allocated to basic health insurance and grass-roots health facilities, which is in accordance with the related requirements of health care reform documents; while the share of OOP continued to reduce, and health care financing structure improved greatly.