2001—2010年上海市卫生筹资变化分析

Analysis on the change of Shanghai health financing from 2001—2010

目的:了解上海市卫生筹资总额和结构情况。方法:描述性分析和时间序列分析。结果:2001—2010年,上海市对卫生事业投入适度增长,筹资结构逐步得到优化。随着社会保险覆盖面的增加,卫生筹资的风险降低,居民医疗卫生服务利用率增加;但与社会经济发展水平相当的地区相比卫生总费用还处于相对较低水平,投入结构还不尽合理。结论:加大对城镇居民基本医疗保险、农村合作医疗等政府补贴型保险和公共卫生等方面的投入,进一步转变投入方式,通过经济杠杆加大对需方的引导和医疗服务提供方的约束力。

Objective： To get the picture of Total Expenditure on Health （TEH） of Shanghai. Method： Descriptive analysis and time-series analysis. Results： In 200112010, Shanghai had a modest growth in heahh input, the construction of health financing optimized. With the increase of health insurance coverage, the risk of health tinancing decreased and the utilization of health service increased, tlowever, compared with other regions, the total input was lower. Conclusion： It is proposed that increasing government subsidy on Medical insurance for urban l^sidents, New Rural Cooperative Medical insurance, and the public health, further changing the input methods, guiding the behavior of patients and providers through economic leverage.