90年代我国若干卫生经济指标的动态分析

Dynamic analysis of several health economic indexes in China in the 1990s

目的 了解我国 90年代宏观卫生经济运行特点。方法 采用回顾性分析法 ,比较了 1990～ 2 0 0 0年我国卫生总费用、医疗费用、医疗服务费用及药品费用的增长态势。结果 我国卫生总费用呈持续增长 ,年平均增长率为 13 33% ;医疗费用自 1993年也呈加速增长态势 ,年平均增长率为 10 83% ;医疗服务费用和药品费用的年平均增长率为 14 14 %和 11 0 7% ;自 1994年 ,上述指标的增长速度明显高于GDP的增长速度。结论 “总量控制、结构调整”虽取得一些成效 ,但与发达国家相比 。

Objective To grasp the features of the macro health economic operation in China in the 1990s. Methods The method of retrospective analysis was used to compare the tendencies of increase in the total health costs, medical expenses, costs of medical services and expenses for medicine in China from 1990 to 2000. Results The total health costs in China were constantly on the increase, with an average annual increase rate of 13 33%. Medical expenses also showed a tendency of accelerated increase from 1993 on, with an average annual increase rate of 10 83%. The average annual rates of increase in costs of medical services and expenses for medicine were respectively 14 14% and 11 07%. From 1994 on, the rate of increase in the above indexes was apparently higher than the growth rate of GDP. Conclusion Although some effects have been achieved through 'total quantity control and structural readjustment', the health economic situation in China remains to be further improved when compared with developed countries.