上海市预防服务费用核算结果

Accounting on Shanghai preventive care expenditure

目的对上海市2014年的预防服务费用进行核算。方法采用最新的"卫生费用核算体系2011"(SHA2011)核算方法,利用卫生财务、卫生统计等统计资料以及样本机构调查资料,从预防费用的筹资方案、机构流向和功能配置等维度进行核算。结果 2014年上海市预防服务费用为169.98亿元,占经常性卫生费用的12.39%,主要用于健康状况监测项目、对口支援和疾病早期诊断项目。预防服务费用主要流向基层医疗卫生机构和医院。政府筹资、企业与机构筹资、家庭卫生支出分别占预防服务费用的71.487%、17.520%和10.991%。结论上海市政府对于预防服务的投入力度较大,但需明确公立医院提供公共卫生服务的范围及补偿标准。

Objective To demonstrate accounting on preventive care expenditure in Shanghai in 2014.Methods Based on A System of Health Accounts 2011 Edition(SHA 2011),data from official statistics and sampling research were analyzed.The preventive care expenditure was calculated from the dimensions of financing scheme,health provider and health function.Results The preventive care expenditure was 16.998 billion yuan in 2014 in Shanghai,accounting for 12.39%of regular health expenditure.The expenditure was mainly spent on projects of health condition surveillance,health aid and early diagnosis of disease.Preventive care was mainly provided by hospitals and primary health institutions.A total of 71.487%of the preventive care expenditure was from government schemed financing,17.520%was from enterprises and institutions and the proportion of out-of-pocket payment amounted to 10.991%.Conclusion Expenditure that government has input in preventive care is relatively high in Shanghai,while the scope of preventive care provided by hospitals needs to be specified and subsidy standards need to be set.