2010-2019山东省个人卫生支出的灰色关联度分析

Grey correlation analysis of personal health expenditure in Shandong Province from 2010 to 2019

目的分析2010-2019年山东省个人卫生支出的影响因素。方法数据来源于2011-2021年中国卫生统计年鉴和山东统计年鉴,采用灰色关联分析法进行分析。结果2010-2019年山东省卫生支出各项指标均呈现增长趋势。与个人卫生支出关联度最高的3项指标分别是农村居民可支配收入、人均GDP和住院病人手术人次数;关联度最低的3项指标分别是社会卫生支出、政府卫生支出和中西药品及保健用品价格指数。结论以城乡居民可支配收入、人均GDP为代表的经济发展因素与山东省个人卫生支出关联性较强,住院病人手术人次数、住院病人次均医药费和门诊病人次均医药费等医疗服务因素与个人卫生支出具有一定的关联性,卫生资源因素和居民状况因素与个人卫生支出的关联性相对较低。建议从政策方面、医疗服务方面及居民方面综合施策,减缓个人卫生支出增速。

Objective To analyze the influencing factors of personal health expenditure in Shandong Province from 2010 to 2019.Methods The data were obtained from China Health Statistical Yearbook(2011-2021)and Shandong Statistical Yearbook(2011-2021),and analyzed by grey correlation analysis method.Results All indicators of health expenditure in Shandong Province showed an increasing trend from 2010 to 2019.The three indicators with the highest correlation with personal health expenditure were disposable income of rural residents,per capita GDP,and number fo surgeries for hospitalized patients.The three indicators with the lowest correlation were social health expenditure,government health expenditure,and price index of Chinese and Western medicine and health products.Conclusion The economic development factors represented by urban and rural residents′disposable income and per capita GDP have a strong correlation with personal health expenditure in Shandong Province.Medical service factors such as the number of inpatient operations,the average medical cost per inpatient and the average medical cost per outpatient have a certain correlation with personal health expenditure.The correlation between health resource factors and population status factors and personal health expenditure is relatively low.It is suggested to take comprehensive measures from the aspects of policy,medical service and residents to slow down the growth of personal health expenditure.