2005年中国卫生总费用测算结果与基本卫生服务筹资

Result on China National Health Accounts of Year 2005 and Analysis of Essential Health Care Financing

概要描述了2005年我国卫生总费用的测算结果。2005年卫生总费用增速缓慢,政府卫生投入比例稳中有升,社会卫生支出比例持续回升,居民个人现金卫生支出所占比例保持近几年的下降趋势。还介绍了国内外卫生总费用口径和进行国际比较应注意的问题,并提供了按国际口径测算的我国卫生总费用结果。最后对我国基本卫生服务筹资机制与筹资模式进行探讨,提出我国基本卫生服务筹资应以税收筹资模式为主,依托现有卫生体系构建城镇居民的基本卫生保健制度。

This article introduces the result on National Health Accounts （NHA） of year 2005. The result showed that the Total Expenditure on Health of year 2005 increased slowly, the proportion of government health expenditure kept some growth in the stability, the share of social health expenditure remained sustainable growth and the proportion of out-of-pocket payments kept the decreasing tendency in the recent years. This article also introduces the boundary of China and international National Health Accounts, issues should be considered in international comparison, and provides China NHA result in terms of international boundary. Finally the article discusses the financing scheme and model of essential health care, and suggests that China essential health care financing should be predominantly tax funded and Essential Health Care Scheme should be built based on exiting health system.