我国与全球、中高收入国家卫生总费用的比较分析

Comparative Analysis on the Total Health Expenditure of Global, Middle-High Income Countries and China

目的:研究1995—2013年我国与全球、中高收入国家卫生总费用(THE)筹资水平、结构的现状及其发展变化趋势,为我国政府调整和制定卫生相关政策提供参考依据。方法:收集世界卫生组织(WHO)和世界银行(WB)的卫生总费用相关数据,按时间序列法构建卫生总费用评价指标数据库,运用聚类分析法将数据进行分类,并进行对比分析。结果:我国的卫生总费用逐年增加,但人均卫生支出增长低于全球、中高收入国家的平均水平。THE筹资结构日益优化,但筹资水平仍较低。结论:政府应继续优化THE的筹资结构,提高筹资水平,增加政府财政对卫生事业的投入,降低个人自付卫生支出比例,完善卫生体制机制。

Objective： The current status and development changing trend of total health expenditure（THE） financing level of the global, middle-high income countries and China were analyzed to provide references for China government adjusting and making health-related policies. Methods： The total health-related cost data of World Health Organization（WHO） and the World Bank（WB） were collected establish the THE evaluation indicator data base. Cluster analysis method was applied to classify the data and conduct comparison analysis. Results： China＇s total health expenditure increased by year, but the growth in per capita health expenditure was lower than the global average of high-income countries. THE financing structure was optimized, but financing level was still low. Con- clusion： The government should continue to optimize the THE financing structure and improve the financing level, increase government investment in health services, reduce the proportion of the out of pocket expenditure ratio and improve the health system and mechanism.