基于“SHA 2011”的辽宁省经常性预防费用分析

Study on the Current Preventive Expenditure of Liaoning Province Based on SHA 2011

目的:核算辽宁省经常性预防费用的总量、服务项目构成、机构配置和筹资方案。方法:基于"卫生费用核算体系2011"测算框架,收集卫生及相关行政部门统计数据和1 004家样本机构的预防服务收入和支出数据进行测算。结果:辽宁省经常性预防费用总体筹资构成合理但规模较小,在机构流向上以公共卫生机构和基层医疗卫生机构为主。结论:扩大预防费用的体量,保证基层医疗卫生机构预防服务质量,正确认识"以医养防"。

Objective: To calculate the item, institution and financing of the current preventive expenditure in Liaoning. Methods:Based on SHA 2011, it collected the data of outcome and income of preventive expenditure in 1 004 sample institutions. Results: The total amount of current preventive expenditure in Liaoning was small. Public health institutions and primary health care institutions were the main institutions in providing preventive service. Conclusion: It needed to expand the prevention expenditure, ensure the quality of preventive services in primary health care institutions, and correctly understand 'medical support and prevention'.