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"健康中国"战略下贵州省经常性卫生费用核算结果与分析

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目的:在"健康中国"背景下,基于"卫生费用核算体系2011",核算2020年贵州省经常性卫生费用。方法:以"卫生费用核算体系2011"为基础,结合贵州省卫生工作实际情况,运用功能法从经常性卫生费用的总体情况及筹资方案、机构流向、服务功能、受益人群等维度,核算贵州省2020年经常性卫生费用。结果:2020年贵州省经常性卫生费用为1 177。50亿元,占2020年贵州省地区生产总值的6。61%,人均经常性卫生费用达3 056。06元。其中,政府方案及强制性卫生筹资金额为708。14亿元,占比60。14%;家庭卫生支出方案筹资金额343亿元,占比29。13%;流向医院873。06亿元,占比74。15%;治疗费用为957。69亿元,占经常性卫生费用的81。33%。结论:贵州省经常性卫生费用政府投入有所上升,但居民就医经济负担仍较重;治疗服务费用上涨较快,"轻预防、重治疗"的现象仍然存在;可增加贵州省预防服务费用的政府卫生投入,增强应对突发公共卫生事件的能力;推进医疗资源下沉基层医疗机构,进一步优化经常性卫生费用服务功能及机构分布。
The Accounting Results and Analysis of Current Health Expenditure of Guizhou Province Under the"Healthy China"Strategy
Objective:In the"Healthy China"strategy and based on the"System of Health Accounts 2011",the current health ex-penditure of Guizhou Province in 2020 were calculated.Methods:Based on the"Health Expense Accounting System 2011"and com-bined with the actual situation of the health work in Guizhou province,the functional method was used to calculate the current health expenditure in 2020 from the overall situation of current health expenditure,financing plan,direction of institutions,service functions,beneficiaries and other dimensions.Results:In 2020,the current health expenditure of Guizhou Province was 117.75 billion yuan,ac-counting for 6.61%of the GDP of Guizhou Province in 2020,and the per capital current health expenditure reached 3,056.06 yuan.Among them,government programs and compulsory health financing amount was 70.814 billion yuan,accounting for 60.14%.The fami-ly health expenditure plan raised 34.3 billion yuan,accounting for 29.13%of the total;87.306 billion yuan went to hospitals,account-ing for 74.15%;The cost of treatment was 95.769 billion yuan,accounting for 81.33%of current health expenditure.Conclusion:The current health expenditure in Guizhou Province has increased,but the economic burden of medical treatment is still heavy.The cost of treatment services has risen rapidly,and the phenomenon of"prevention is less important than treatment"still exists.We can increase the government's health investment in the cost of preventive services in Guizhou Province,enhance our capacity to respond to public health emergencies,promote the sinking of medical resources to grassroots medical institutions,and further optimize the service func-tion and institutional distribution of current health costs.

SHA 2011Current Health ExpenditureGuizhou

史华、叶莉、张科、吕轶娟、苏旭、陶婉菊、王清华

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贵州中医药大学第一附属医院财务科

贵州省疾病预防控制中心规财部,贵州 贵阳 550001

贵州省疾病预防控制中心慢病所,贵州 贵阳 550001

卫生费用核算体系2011 经常性卫生费用 贵州

贵阳市科技计划

筑科合同[2019]9-2-40号

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(3)
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