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内蒙古自治区个人卫生支出灰色关联度分析与趋势预测

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目的 分析内蒙古自治区个人卫生支出变化情况及其影响因素,为内蒙古自治区卫生筹资领域改革提供参考。方法 采用灰色关联度分析方法对内蒙古自治区个人卫生支出影响因素进行研究,并且运用ARIMA模型和灰色预测方法对内蒙古自治区个人卫生支出进行预测。结果 内蒙古自治区人均个人卫生支出占卫生总费用的比重均高于全国水平;内蒙古自治区医疗机构床位数与个人卫生支出相关度最高;灰色预测模型和ARIMA模型预测结果均表明个人卫生支出将逐年增加。结论 应加大政府在卫生领域的投入力度,减轻患者医疗经济负担;加大患者住院报销力度,着力合理配置卫生资源;推动基层医疗卫生机构发展,保障卫生资源均衡配置;辨证理解个人卫生支出,平衡居民健康需求与医疗费用增长。
Analysis of Grey Correlation Degree and Trend Prediction of Personal Health Expenditure in Inner Mongolia Autonomous Region
Objective To analyze the changes of personal health expenditure and its influencing factors in Inner Mongolia Autonomous Region,and to provide reference for the reform of health financing in Inner Mongolia Autonomous Re-gion.Methods The grey correlation analysis method was used to study the influencing factors of personal health expendi-ture in Inner Mongolia Autonomous Region,and the ARIMA model and gray prediction method were used to predict perso-nal health expenditure in Inner Mongolia Autonomous Region.Results The per capita personal health expenditure and Out-of-pocket payment(OOP)in the total health expenditure in Inner Mongolia Autonomous Region were higher than the national level.The number of beds in medical institutions in Inner Mongolia Autonomous Region correlates the most with personal health expenditure.The grey and ARIMA models both predict that hygiene spending will increase year by year.Conclusion It is suggested to increase government investment in the health sector to reduce the financial burden of pa-tients'medical care,to increase the reimbursement of patients hospitalization,and focus on the rational allocation of health re-sources.The development of grassroots medical and health institutions should be promoted and the balanced allocation of health resources needs to be ensured.Personal health expenditure should be dialectically understood and residents'health needs with the growth of medical expenses should be balanced.

Out-of-pocket paymentGrey predictionARIMA modelInfluencing factors

郭朝、饶远立、杜惠峰

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广州中医药大学公共卫生与管理学院,广东 广州,510006

内蒙古医科大学卫生管理学院,内蒙古 呼和浩特,010010

个人卫生支出 灰色预测 ARIMA模型 影响因素

内蒙古自治区自然科学基金项目

2022MS07001

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(5)