南京医科大学学报(社会科学版)2024,Vol.24Issue(6) :566-573.DOI:10.7655/NYDXBSSS240324

湖南省"十四五"卫生总费用预测及影响因素研究

The forecast and influencing factors of total health expenditure during the 14th Five-Year Plan of Hunan Province

仲光金 丁海峰
南京医科大学学报(社会科学版)2024,Vol.24Issue(6) :566-573.DOI:10.7655/NYDXBSSS240324

湖南省"十四五"卫生总费用预测及影响因素研究

The forecast and influencing factors of total health expenditure during the 14th Five-Year Plan of Hunan Province

仲光金 1丁海峰1
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作者信息

  • 1. 湖南农业大学公共管理与法学学院,湖南 长沙 410128
  • 折叠

摘要

文章基于 2010-2022年湖南省卫生总费用及相关数据,对卫生费用总额及其筹资结构进行描述性分析,利用GM(1,1)模型和灰色关联分析法,对"十四五"期间卫生总费用进行预测的同时,深入探讨影响因素.结果显示,湖南省卫生总费用及其与国内生产总值(GDP)比值总体呈上升趋势,预计到 2025年,卫生总费用与GDP的比值(7.23%)将接近卫生总费用可持续性的警戒值(8%);从筹资结构来看,个人卫生支出比例仍然较高;从影响因素来看,人均GDP与城乡居民人均可支配收入是推动卫生总费用增长的首要因素,医疗机构总诊疗人次、病床使用率、卫生机构数、老龄化程度与城市化水平次之,政府财政能力与卫生投入对卫生总费用的影响缺乏弹性.湖南省卫生筹资的可持续性面临极大挑战,应从供需双方共同合理控制卫生费用上涨.

Abstract

Based on the total health expenditure and related data of Hunan Province from 2010 to 2022,the article conducts a descriptive analysis of the total health expenditure and its financing structure while utilizing the GM(1,1)model and grey relation analysis to predict the total health expenditure during the 14th Five-Year Plan period along with an in-depth discussion of its influencing factors.The results indicate that the total expenditure of health and its ratio to GDP in Hunan Province are generally on the rise,and the ratio of total cost of health to GDP(7.23%)is expected to be close to the threshold value of the sustainability of total cost of health(8%).In terms of the financing structure,the proportion of personal health expenditure is still relatively high.Regarding the influencing factors,the GDP per capita and the per capita disposable income of urban and rural residents are the primary factors contributing to the growth of total health expenditure,followed by the total number of visits to health institutions,hospital utilization rate,the number of health institutions,the aging rate and the level of urbanization.The impact of government financial capacity and health inputs on the total health expenditure is inelastic.The sustainability of health financing in Hunan Province faces significant challenges,and the rise in healthcare expenditure should be reasonably controlled from both the supply and demand sides.

关键词

卫生总费用/筹资结构/灰色系统理论/预测研究/影响因素

Key words

total health expenses/funding structure/Grey system theory/predictive research/influence factor

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出版年

2024
南京医科大学学报(社会科学版)
南京医科大学

南京医科大学学报(社会科学版)

CHSSCD
影响因子:0.938
ISSN:1671-0479
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