山东省政府卫生支出分析

Analysis on government health expenditure of Shandong province

目的:研究山东省政府卫生支出水平及影响因素,为决策提供参考。方法:资料主要来源于1998—2009年山东省财政数据、医保数据和社会经济统计资料;运用筹资来源法对政府卫生支出进行测算,并开展国内外比较研究。结果:(1)1998—2009年,山东省政府卫生支出从30.66亿元增加到254.02亿元;人均政府卫生支出从34.70元增加到268.23元;政府卫生支出年均增速快于GDP、卫生总费用和财政支出年均增速;(2)1998—2009年,山东省广义政府卫生支出占GDP比重从1.03%增加到1.57%,人均广义政府卫生支出从22.46美元增加到138.52美元。结论:(1)山东省政府卫生支出变化趋势较好;(2)与其他省份相比,山东省政府卫生支出水平较低;(3)与国际相比,山东省广义政府卫生支出水平很低,与实现全民覆盖要求的政府卫生筹资水平还有很大差距。

Objectives： This paper aims to provide reference for policy-making through estimating the government health expenditure and the impact of factors in Shandong.Methods： The data sources are from Shandong Statistical Yearbook,Shandong Medical Insurance Annals Reports,and Shandong Financial Annual Reports from 1998 to 2009.Total health expenditure by source and comparative research method are used to estimate and analyze the government health expenditure of Shandong.Results：（1）From 1998 to 2009,the Shandong government health expenditure is increased from 3.066 billion RMB to 25.402 billion RMB.The government expenditure per capita is increased from 34.70 RMB to 268.23 RMB.The growth rate of government expenditure on average is more than GDP,total health expenditure,and financial expense respectively.（2）In accordance with the international standard,the proportion of the general government expenditure over GDP is increased from 1.03% to 1.57%.In addition,the general government expenditure per capita is increased from US$22.46 to US$138.52.Conclusions：（1）The trends of government health expenditure is getting better;（2）The government health expenditure is in a relative low level when comparing with other domestic provinces.（3）The general government health expenditure is very low when comparing with international countries.There is a big gap to achieve universal coverage in terms of the required health financing for the general government health expenditure level.