基于“卫生费用核算体系2011”的北京市预防服务费用核算结果

The Results of Preventive Care Expenditure of Beijing Based on SHA 2011

目的:基于"卫生费用核算体系2011"核算北京市预防服务费用。方法:以"卫生服务核算体系2011"为基础,结合北京市实际情况,从筹资方案、机构流向、服务功能等维度核算北京市预防费用。结果:北京市预防服务费用总量为88.09亿元,占经常性卫生总费用比重为5.46%,占GDP比重为0.38%,主要提供免疫规划、传染病防治、健康体检、孕产妇保健等服务,预防服务费用中来源于公共筹资方案、自愿筹资方案和家庭卫生支出,费用占比依次为42.12%、28.45%和29.43%;预防服务主要由医院和基层机构提供,两者占比达67.74%。结论:预防服务费用总量稳定,机构流向有待调整;各类机构预防服务功能明确,用自身收入弥补预防服务的现象广泛存在。

Objective： To account the preventive eare expenditure of Beijing based on System of Health Aecounts 2011 （SHA2011）. Methods： Based on SHA 2011 and combined the actual situation in Beijing, it accounted preventive care expenditure of Beijing by financing scheme, health provider and service function. Results： The preventive care expenditure of Beijing was 8.8 bil- lion, 5.46% for current health expenditure and 0.38% for GDP. The expenditure was mainly spent on immunization programs, preven- tion and controlling of infectious diseases, physical examinations and perinatal cares. The expenditure came from governmental financ- ing, institutions and family health expenditure, which accounted for 42.12%. 28.45% and 29.43%. The preventive services were main- ly provided by hospitals and preventive service organizations, accounting for 67.74%. Conclusions： The preventive care expenditure was stable bul the flows of institutions needed to be adjusted. The preventive functions provided by institutions were quite different, lint the phenomenon with their own incomes to make up for preventive services widely existed.