十二五期间新疆卫生费用机构流向分析

Analysis on Institutional Distribution of Total Health Expenditure in Xinjiang during the Period of“12th Five-Year Plan”

目的:总结“十二五”期间新疆卫生费用的机构流向分析,为卫生资源配置政策提供参考依据。方法:运用机构流向法进行测算,并对核算结果进行综合分析。结果:十二五期间新疆卫生总费用分配总额从2011年的429.05亿元增长到2015年的692.12亿元。其中公共卫生机构平均增长速度较低;流向城市医院和县医院的卫生费用占比有缓慢下降趋势;在基层医疗卫生机构中,社区卫生服务机构费用占比下降,而乡镇卫生院费用占比有缓慢上升趋势,由2011年的8.95%上升到2015年的12.22%;门诊药品费用和住院的药品费用占比均有下降趋势,而零售药品费用占药品费用总额的比重由2011年的35.64%上升至2015年的47.58%。结论:需加强政府公共财政对公共卫生事业的有效投入,进一步加强基层医疗卫生服务体系,应继续巩固药品相关政策的效应。

Objective:To estimate the total expenditure on the provider distribution of total health expenditure(THE)in Xinjiang,and propose references for health resource allocation policy.Methods:Health expenditure accounting methods by health provider were used.Results:During the 12th Five-Year Plan period,the total amount of the expense in Xinjiang increased from 42.91 billion to 69.21 billion.The proportion of the flowing to city hospitals and county hospitals showed a slow downward trend.The proportion of community health service institutions decreased among the primary health care institutions,while the proportion of township health centers showed a slow rising trend,from 8.95%in 2011 to 12.22%in 2015.The proportion of outpatient and inpatient drug expenses showed a downward trend,while the proportion of retail drug expenses in total drug expenses increased from 35.64%in 2011 to 47.58%in 2015.Conclusions:It is necessary to strengthen the effective input of government public finance in public health,further strengthen the primary health care system and continue to consolidate the effect of drug-related policies.