1995年至2011年新疆卫生总费用筹资水平和结构及变化趋势分析

Analysis on the level of financing, structure and variation trend of total health expenditure from 1995 to 2011 in Xinjiang

目的对1995年至2011年新疆卫生总费用的主要构成和变化趋势进行分析，提出改善卫生筹资的政策建议。方法采用筹资来源法对新疆卫生总费用进行测算，并对测算结果进行分析。结果1995年至2011年，新疆卫生总费用年平均增长速度为14．75％。新疆卫生总费用和人均卫生费用呈持续增长趋势，筹资水平高于地区经济发展水平，但卫生消费弹性系数不稳定；居民个人卫生负担逐步降低，卫生费用筹资结构相对较合理；城乡居民医疗保健消费水平增长快于人均收入增长，占生活消费支出的比例波动升高。结论建议继续推进医药卫生体制改革，充分发挥卫生对口援疆工作的战略作用，促进基本公共卫生服务均等化；发展经济和提高城乡居民收入，加强社会医疗保障制度；

Objective To analyze the principal components and trends of total health expenditure from 1995 to 2011 in Xinjiang, in order to put forward policy recommendations to improve health financing. Methods Calculating the total health expenditure in Xinjiang using the financing source method, and analyzing the calculation results. Results Total health expenditure increase in Xinjiang averaged 14. 75% from 1995 to 2011. The total health expenditure in Xinjiang and per capita health expenses maintained a growing trend, and the level of financing was higher than regional economic development, but the health consumption elasticity coefficient was unstable; Residents＂ individual health burden was gradually decreasing, the health expenses of financing structure were relatively reasonable; Urban and rural residents health care spending grew faster than the per capita income, and the proportion in people＇s living consumption was found rising. Conclusion It is recommended to continue with the health reform, make full use the policy of strategic health support to Xinjiang, promote primary health service equity, develop economy and improve the urban and rural income, strengthen social health care security systems, tighten macro-control and curb the fast rising trend of health expenses.