基于“卫生费用核算体系2011”的中国预防费用核算结果

The Estimating Results on China Preventive Care Expenditure Based on SHA 2011

目的:基于国际最新的"卫生费用核算体系2011"(SHA 2011)核算中国预防服务费用。方法:以SHA 2011为基础,结合中国实际情况,从筹资方案、机构流向和服务功能维度核算中国预防服务费用。结果:2012年中国预防服务费用为1 669.34亿元,占经常性卫生费用的比重为6.74%,人均预防服务费用为123.85元,主要用于健康状况监测及流行病学监测、危险因素和疾病控制等。50.04%的预防服务费用由政府方案筹资,但家庭卫生支出仍占24.66%,预防服务费用主要流向公共卫生机构、基层医疗卫生机构和医院。结论:对于我国预防服务而言,需要继续完善政府投入机制,加大政府对预防服务投入力度;进一步落实和细化医疗卫生机构筹资政策,改善"以医养防"现状;加强公共卫生服务体系建设。

Objective:To present estimates of preventive care expenditure in China under System of Health Accounts 2011(SHA2011).Methods:Based on SHA 2011 and combined the actual situation in China, it estimated China preventive care expenditure byfinancing scheme, health provider and health function.Results:The preventive care expenditure was 166.93 billion yuan in 2012,6.74% for current health expenditure, and per capita preventive care expenditure was 123.85 yuan. The expenditure was mainly spenton healthy condition monitoring programs and epidemiological surveillance and risk and disease control programmes. 50.04% of pre-ventive care expenditure relied on the government schemed financing, but the proportion of family health expenditure was still24.66%. Most of preventive care expenditure occurred in public health institutions, primary health care institutions and hospitals.Conclusion:For preventive care, China needed to continue to improve government input mechanism, increase the intensity of governmentinput in preventive care; to implement and detail the financing policies for health care and improve the current situation of 'preven-tion by medical remedy'; to strengthen the construction of public health service system.