基于时空角度的我国卫生筹资结构现状

Analysis of the current state of health financing structure in China based on time and space

目的从时间和空间角度对2014—2018年中国内陆31个省级行政区域卫生总费用的筹资水平和结构进行分析,探讨地域差异。方法分析我国卫生筹资水平和结构的纵向变化情况,同时运用ArcGIS10.2软件对31个省级行政区域的卫生筹资结构数据进行空间自相关分析。结果2014—2018年间我国卫生筹资水平不断提高,筹资结构不断优化,但省际差异依旧明显。结论未来我国卫生工作重点仍然是提升卫生筹资水平,优化筹资结构,重点关注卫生筹资结构的地域差异,从而解决卫生筹资的不公平性。

Objective:To analyze the financing level and structure of the total health expenditure of 31 provincial administrative regions in Inland China from 2014 to 2018 from the perspective of time and space,and to discuss the regional differences.Methods:The longitudinal changes of health financing level and structure in China were analyzed.Meanwhile,ArcGIS10.2 software was used to conduct spatial autocorrelation analysis on health financing structure data of 31 provinces.Results:From 2014 to 2018,China's health financing level was constantly improved,and the financing structure was optimized,but the regional differences between provinces were still obvious.Conclusion:In the future,the focus of China's health work will still need to improve the level of health financing,optimize the financing structure,analyze specific roblems,pay attention to the regional differences of health financing structure,and solve the unfairness of health financing.