1995—2014年甘肃省社会卫生支出趋势性研究

Research on Social Health Expenditure Trend in Gansu Province from 1995 to 2014

目的:通过分析甘肃省社会卫生支出状况及其变动趋势,揭示甘肃省社会卫生筹资现状,为提高社会卫生筹资能力提供依据。方法:基于省级卫生总费用来源法核算社会卫生支出,计算增长速度,分析变动趋势。结果:连续20年甘肃省社会卫生支出呈现"W"型筹资特点。1995—2002呈现明显下降趋势,2002年占卫生总费用比重最低仅为18.87%;2003—2005年先升后降。2006年呈缓慢的上升趋势,2014年占卫生总费用比重为28.82%;社会卫生支出构成中社会基本医疗保险和社会办医支出为主,商业保险比重偏低,2014年占社会卫生筹资比重仅9.54%。2014年甘肃省社会卫生支出占卫生总费用比重低于全国平均约10个百分点,人均社会卫生筹资仅为633.69元,低于全国平均水平350元。结论:甘肃省社会卫生筹资能力增长缓慢,筹资能力严重不足,筹资模式和筹资渠道亟待完善优化。

Objective： To analyze the situation and changing trend of social health expenditure in Gansu to reveal the current sta- tus of social health financing and provide the evidence for improving social health financing capacity. Methods： Based on the provin- cial total health expenditure by resource, it calculated social health expenditure, estimate the increasing speed and analyze the chang- ing trend. Results： For 20 consecutive years, the social health expenditure in Gansu Province showed ＂W＂ characteristics, which showed a significant decreasing trend from 1995 to 2002. The proportion of total expenditure on health（TilE） accounted for 18,87% in 2002. The trend decreased after increased from 2003 to 2005. There was a slow increasing trend in 2006. The proportion of THE in 2014 was 28.82%. Social basic medical insurance and non-public hospitals took the majority of social health expenditure. The propor- tion of business insurance was respectively low, which took 9.54% of social health financing in 2014. In 2014, the proportion of social health expenditure in THE was 10% lower than the national average level. The social health expenditure per capita was 633.69 yuan, which was lower than the national average level（350 yuan）. Conclusion： The financing capacity of social health in Gansu increased slowly, the financing capacity seemed seriously shortage. The financing mode and channels needed to be optimized in short time.