北京市卫生总费用来源法与机构法结果差异原因分析

Analysis on Causes for the Differences between Total Health Expenditure Accounting Results of Beijing by Resource Method and by Provider Distribution Method

目的:深入分析北京市卫生总费用来源法和机构法两种核算方法产生差异的原因,为北京市区域卫生政策制定提供参考。方法:筹资来源法,机构流向法。结果:北京市卫生总费用两种核算方法的差异主要是由于军队驻京机构数据、医保基金结余数据和外地居民来京费用等原因引起。结论:完善信息统计制度;深入分析,为政策服务;京津冀医疗卫生协同发展,缓解就医压力。

Objective： To explore, reasons for the differences between two accounting methods of Beijing and provide useful references for health policy making in Beijing. Methods： Health expenditure accounting methods by financing source and by health provider were applied. Results： The differences between two accounting methods were caused by military medical data in Beijing, the surplus of health insurance fund and the medical costs of foreign residents migtanted to Beijing. Conclusion： It needed to improve the information statistics system, analyze the reasons deeply for policy making and promote the coordinated development of medical in Beijing, Tianjin and Hebei and ease the pressure of medical treatment.