摘要
目的:核算2014年全国及各地区卫生总费用,分析2009年医改以来中国卫生筹资状况及变化趋势。方法:采用来源法和机构法核算卫生费用,并基于卫生总费用时间序列数据进行对比分析。结果:2014年中国卫生总费用为35 312.40亿元,占GDP比重为5.55%。其中,政府卫生支出比重降至29.96%,近10年增速首次低于10.00%;社会卫生支出比重升至38.05%;个人卫生支出比重下降到31.99%。2009—2014年,卫生总费用增速由2009年的20.81%降至2014年的10.56%。结论:2009—2014年,卫生总费用增速放缓,其增长在一定程度上得到控制;为实现"十二五"末医改目标,仍需加大政府投入力度,进一步发展健康服务业。
Objective:To estimate national and sub-national total health expenditure in 2014,and analyze health financing and changing trends in China since the health care reform in 2009.Methods:Health expenditure estimation methods by resource and by institution were applied.Contrastive analysis was conducted based on the total health expenditure time series data.Results:In 2014,China total health expenditure(THE)was 3.53124 trillion yuan,accounted for 5.55% of GDP.The share of government health expendi.ture reduced to 29.96%,the growth rate was less than 10% for the first time in 10 years;the social health expenditure of THE in.creased to 38.05%;and the proportion of individual health expenditure declined to 31.99%.From 2009 to 2014,the growth rate of THE reduced from 20.81% to 10.56%.Conclusion:From 2009 to 2014,THE growth rate was slow,to some extent,the growth was un.der control;to achieve the 12 th five-year plan goals of health reform at the end,the government should continue to increase health in.put and further develop health care industry.
出处
《中国卫生经济》
北大核心
2016年第3期5-8,共4页
Chinese Health Economics
关键词
卫生总费用
卫生筹资
政府卫生支出
个人卫生支出
健康服务业
total health expenditure
health financing
government health expenditure
out-of-pocket
health care industry