中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2015年
1期
33-36
,共4页
路阳%麦尔当·艾力木%巩亚楠%陆晨%李士雪
路暘%麥爾噹·艾力木%鞏亞楠%陸晨%李士雪
로양%맥이당·애력목%공아남%륙신%리사설
新疆%卫生总费用%卫生筹资%筹资来源法
新疆%衛生總費用%衛生籌資%籌資來源法
신강%위생총비용%위생주자%주자래원법
Xinjiang%Total health expenditure%Health financing%Financing source method
目的 对1995年至2011年新疆卫生总费用的主要构成和变化趋势进行分析,提出改善卫生筹资的政策建议.方法 采用筹资来源法对新疆卫生总费用进行测算,并对测算结果进行分析.结果 1995年至2011年,新疆卫生总费用年平均增长速度为14.75%.新疆卫生总费用和人均卫生费用呈持续增长趋势,筹资水平高于地区经济发展水平,但卫生消费弹性系数不稳定;居民个人卫生负担逐步降低,卫生费用筹资结构相对较合理;城乡居民医疗保健消费水平增长快于人均收入增长,占生活肖费支出的比例波动升高.结论 建议继续推进医药卫生体制改革,充分发挥卫生对口援疆工作的战略作用,促进基本公共卫生服务均等化;发展经济和提高城乡居民收入,加强社会医疗保障制度;加大宏观调控,遏制卫生费用快速上涨的势头.
目的 對1995年至2011年新疆衛生總費用的主要構成和變化趨勢進行分析,提齣改善衛生籌資的政策建議.方法 採用籌資來源法對新疆衛生總費用進行測算,併對測算結果進行分析.結果 1995年至2011年,新疆衛生總費用年平均增長速度為14.75%.新疆衛生總費用和人均衛生費用呈持續增長趨勢,籌資水平高于地區經濟髮展水平,但衛生消費彈性繫數不穩定;居民箇人衛生負擔逐步降低,衛生費用籌資結構相對較閤理;城鄉居民醫療保健消費水平增長快于人均收入增長,佔生活肖費支齣的比例波動升高.結論 建議繼續推進醫藥衛生體製改革,充分髮揮衛生對口援疆工作的戰略作用,促進基本公共衛生服務均等化;髮展經濟和提高城鄉居民收入,加彊社會醫療保障製度;加大宏觀調控,遏製衛生費用快速上漲的勢頭.
목적 대1995년지2011년신강위생총비용적주요구성화변화추세진행분석,제출개선위생주자적정책건의.방법 채용주자래원법대신강위생총비용진행측산,병대측산결과진행분석.결과 1995년지2011년,신강위생총비용년평균증장속도위14.75%.신강위생총비용화인균위생비용정지속증장추세,주자수평고우지구경제발전수평,단위생소비탄성계수불은정;거민개인위생부담축보강저,위생비용주자결구상대교합리;성향거민의료보건소비수평증장쾌우인균수입증장,점생활초비지출적비례파동승고.결론 건의계속추진의약위생체제개혁,충분발휘위생대구원강공작적전략작용,촉진기본공공위생복무균등화;발전경제화제고성향거민수입,가강사회의료보장제도;가대굉관조공,알제위생비용쾌속상창적세두.
Objective To analyze the principal components and trends of total health expenditure from 1995 to 2011 in Xinjiang,in order to put forward policy recommendations to improve health financing.Methods Calculating the total health expenditure in Xinjiang using the financing source method,and analyzing the calculation results.Results Total health expenditure increase in Xinjiang averaged 14.75% from 1995 to 2011.The total health expenditure in Xinjiang and per capita health expenses maintained a growing trend,and the level of financing was higher than regional economic development,but the health consumption elasticity coefficient was unstable; Residents' individual health burden was gradually decreasing,the health expenses of financing structure were relatively reasonable; Urban and rural residents health care spending grew faster than the per capita income,and the proportion in people's living consumption was found rising.Conclusion It is recommended to continue with the health reform,make full use the policy of strategic health support to Xinjiang,promote primary health service equity,develop economy and improve the urban and rural income,strengthen social health care security systems,tighten macro-control and curb the fast rising trend of health expenses.