| 引用本文：夏毅,金春林,丁汉升,等.上海市卫生总费用现状分析[J].中国卫生政策研究,2010,3(1):2-8 |
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| 上海市卫生总费用现状分析 |
| 投稿时间：2009-11-04 修订日期：2009-11-12 PDF全文浏览 HTML全文浏览 |
| 夏毅1, 金春林1, 丁汉升2, 赵江清3, 吴幸懃3, 付晨1, 张崖冰2, 陈雯1, 顾丽娟1, 谢磊1, 林海1, 荆丽梅2 |
| 1.上海市卫生局;2.上海市卫生发展研究中心;3.上海市统计局 |
| 摘要:目标：分析上海市卫生费用的筹资来源，并进行国内外比较。资料与方法：在国家卫生总费用核算框架的指导下，参考国际卫生总费用核算经验，应用上海市卫生总费用核算研究资料，进行描述性分析和比较。结果：2001—2007年上海市卫生总费用占GDP的比重介于3.84%~398%，卫生总费用年均增长1298%，基本与上海市生产总值增长相协调。上海市卫生总费用的构成状况总体呈“一升一降一平稳”的态势，2007年政府、社会和个人卫生支出分别占卫生总费用的2047%、5734%和2219%。个人现金卫生支出比例的下降并不代表群众不存在“看病贵”问题，其背后仍隐含不少问题。建议：适当提高卫生总费用占GDP的比例，加大政府卫生投入力度，建立长效的卫生投入机制，新增卫生投入重点投向基层医疗卫生服务体系和公共卫生体系，将个人现金卫生支出的比例控制在合理的范围内。 |
| 关键词:卫生总费用 卫生筹资 政府卫生支出 社会卫生支出 个人现金卫生支出 |
| 基金项目:上海市卫生局重大研究项目（编号：4.3） |
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| Analysis on the status quo of Shanghai total expenditure on health |
| XIA Yi1, JIN Chun-lin1, DING Han-sheng2, ZHAO Qing-jiang3, WU Xing-qin3, FU Chen1, ZHANG Ya-bing2, CHEN Wen1, GU Li-juan1, XIE Lei1, LIN Hai1, JING Li-mei2 |
| 1.Shanghai Municipal Health Bureau;2.Health Development Research Center, Shanghai Municipal Health Bureau;3.Shanghai Municipal Statistics Bureau |
| Abstract:Objectives: To analyze the financing source of Shanghai total expenditure on health (STEH), and compare STEH domestically and internationally. Data and Methods: Under the guidance of National Health Accounting (NHA) framework, and referring to the international NHA experiences, this article provided descriptive analysis on STEH and comparative study. Results: From the year 2001 to 2007, STEH accounts for 3.84%~3.98% of Shanghai GDP. STEH grows by 12.98% annually, almost synchronously with Shanghai GDP. In general the health financing structure is as follows, the proportion of government health expenditure stay steadily, the social health expenditure grows gradually, and the out of pocket(OOP) expenditure declining relatively, which was 20.47%, 57.34% and 22.19% respectively in 2007. The decline in the proportion of OOP expenditure does not mean that the patients dont have any problems on high health expenditures. There are still many hidden problems under this situation.Recommendations: Increase the government health input gradually, and set up long term health investment mechanisms. The new government health input should mainly focus on primary health care and public health system. Meanwhile the proportion of OOP expenditure should be controlled under a reasonable range. |
| Key words:Total expenditure on health Health financing Government health expenditure Social health expenditure Out of pocket health expenditure |
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