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从筹资方案、收入和机构三个维度分析上海市卫生筹资状况 被引量:3

Analyzing Health Financing Status in Shanghai from Health Financing Schemes, Revenues and Institutions
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摘要 目的:基于SHA 2011筹资维度框架核算上海市卫生费用,为政策制定者提供决策参考。方法:在SHA 2011分类原则下,从筹资方案、筹资方案收入和筹资机构三个维度进行核算。结果:2013年,上海市经常性卫生费用为1 083亿元,占GDP的比重是5.01%。经常性卫生费用中61.1%是公共筹资,但家庭现金卫生支出比例超过30%。卫生部门、人保部门分别管理14.3%和42.9%的资金。结论:上海市筹资体系由政府主导,部门间应建立联动机制以提高资金使用效率。OOP占比高,应靶向降低重点家庭现金卫生支出。鼓励非营利性机构和商业保险机构发展,建立多元化筹资体系。 Objective:Calculating health expenditure in Shanghai based on the financing dimension of System of Health Accounts2011(SHA 2011) so as to provide decision references for policy designers.Methods:Based on the classification principle of SHA2011,it performed to calculate from financing scheme,financing scheme revenue and financing institutions.Results:The current health expenditure in Shanghai was 108.3 billion yuan,accounting for 5.01%in GDP.The proportion of regular health financing schemes was 61.1%.The proportion of out Of pocket(OOP) was higher than 30%.Health sectors managed 14.3%of current health expenditure,42.9%of the fund was managed by labor and social security sector.Conclusion:The government played a leading position in Shanghai financing system.Linkage mechanism should be established among departments so as to promote fund usage efficiency.A target strategy should be build to decrease the OOP proportion.Non-profit organizations and commercial insurance institutions should be encouraged to create a diversified financing system.
出处 《中国卫生经济》 北大核心 2015年第12期57-59,共3页 Chinese Health Economics
基金 美国中华医学基金会卫生体系研究与政策转化合作项目(CMB-CP 14-190)
关键词 卫生费用核算体系2011 筹资方案 筹资方案收入 筹资机构 上海 SHA 2011 financing schemes financing revenue administration institution Shanghai
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  • 1翟铁民,张毓辉,万泉,柴培培,郭锋,王从从,王秀峰.基于“卫生费用核算体系2011”的中国卫生费用核算方法学研究[J].中国卫生经济,2015,34(3):9-11. 被引量:91
  • 2中共中央国务院关于深化医药卫生体制改革的意见[EB/OL].中国政府网,2009.4.7.
  • 3张振忠.中国卫生费用核算研究报告[M].北京:人民卫生出版社,2008.
  • 4WHO.Social health insurance. Reported by the Secretariat. Document EB115/8, 2004.12.
  • 5WHO/WPRO & WHO/SEARO. Regional strategy for health care financing covering the period of 2005-2010.2005(Draft).
  • 6WHO.Social health insurance: Selected ease studies for Asia and the Pacific.Edited by Then Sein,et al.2005-05.
  • 7中华人民共和国卫生部.中国的医疗卫生事业白皮书[EB/OL]. [ 2012-12-27 ] . http://www. moh. gov. cn/mo-hzcfgs/s7847/201301/6fbe55264d84e03960eb72dbd752d05.shtml.
  • 8卫生部卫生发展研究中心.2012中国卫生总费用研究报告[R]. 2012.
  • 9Ravi P,Eliya R,Lorenzoni L. Guidelines for Improving theComparability and Availability of Private Health Expendi-tures Under the System of Health Accounts Framework [ M].OECD Publications Service, 2010.
  • 10中国统计局.第六次人口普查[M].北京:中国统计出版社,2011.

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