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新时代我国卫生总费用地区差异变动趋势分析

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目的:基于党的十八大以来我国各地区卫生总费用核算结果,分析2012-2022年我国卫生筹资水平及筹资结构的地区差距及其演变趋势,为后续相关政策的调整和完善提供参考.方法:运用极差、标准差、变异系数来分析我国卫生总费用地区绝对差异和相对差异的程度以及新时代(2012-2022年)区域卫生总费用差异的变化特征.结果:2012年以来,各地区卫生总费用持续增长,卫生总费用年均增速均高于本地区经济增速;31个省份卫生总费用占地区生产总值比重相对差异在波动中有所收敛,但绝对差距仍然很大;人均卫生总费用相对差距和绝对差距均呈扩大趋势;个人卫生支出占卫生总费用比重绝对差异缩小的同时,相对差异也逐渐缩小.结论:各地区卫生总费用增速差异明显,建议"适宜增长"与"精准控费"并行;我国卫生投入地区间差距未有改善,尤其是人均投入水平地区差异持续加大,缩小地区差距是一项长期任务;地区间筹资结构差距有所收敛,但差距仍然较大.
Analysis on the Trends of Regional Differences in Total Health Expenditure in China in the New Era
Objective:Based on the accounting results of total health expenditure in different regions since the 18th National Congress of the Communist Party of China,to analyze the regional disparity and evolution trend of health financing level and financing structure in 2012-2022,so as to provide references for subsequent adjustment and improvement.Methods:Range,standard deviation and coefficient of variation were used to analyze the degree of absolute and relative differences of total regional health expenditure in China and the changing characteristics of regional total health expenditure differences since the New Era(2012-2022).Results:Since 2012,the total health expenditure in various regions has been increasing continuously,and the average annual growth rate of total health expenditure is higher than that of the economy in this region.The relative difference of the proportion of total health expenditure to GDP in 31 provinces has converged in the fluctuation,but the absolute difference is still very large;the relative gap and absolute gap of per capita total health expenditure are expanding;the absolute difference in the proportion of out-of-pocket payments to total health expenditure has narrowed,while the relative difference has gradually narrowed.Conclusion:There are obvious differences in the growth rate of total health expenditure in different regions,so it is suggested that"appropriate growth"and"accurate control of health expenditure"should be carried out in parallel;the regional disparity of health investment in China has not improved,especially the regional disparity of per capita investment level continues to increase,so narrowing the regional disparity is a long-term task.The gap of regional financing structure has converged,but the gap is still large.

new erahealth expenditurehealth financingregional disparity

郭锋、周宇晨、柴培培、李岩、翟铁民、万泉

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国家卫生健康委卫生发展研究中心 北京 100044

新时代 卫生总费用 卫生筹资 地区差异

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(6)