经济增长背景下政府与个人卫生支出划分的国际经验与中国现状

Government-individual health expenditure in the context of economic growth: International experience and the situation in China

目的:促进我国政府与个人卫生费用支出分担比例的合理化。方法:以世界卫生组织100多个成员国的数据为基础,采用回归分析方法,探寻经济发展水平与卫生支出以及政府与个人卫生支出分担比例的发展规律。结果:从世界范围来看,人均卫生总费用和人均政府卫生支出的需求收入弹性均大于1,人均个人卫生支出的需求收入弹性小于1。2000—2010年,中国人均卫生总费用、人均政府卫生支出的实际值都始终低于回归预测值。结论:"十二五"期间人均财政卫生支出的增长速度应达到10.2%左右,人均个人卫生支出的增长速度应达到7%。

Objective：To improve the rational proportion of government-individual health expenditure.Methods：Based on the data from more than 100 WHO member countries,regression method was used to analyse the relationship between economic growth and health expenditure,as well as the ratio between the government and individuals on health expenditure.Results：Income elasticity of demand of total health expenditure and government health expenditure per capital are both more than one,compared to that of personal health expenditure per capital is less than one around the world.From 2000 to 2010,the total health expenditure per capita in China and actual government expenditure per capita on health were lower than the predictive data.Conclusion：The growth rate of government health expenditure and personal health expenditure per capita are supposed to reach at about 10.2％ and 7％ respectively during the ＂12th five-year plan＂.