北京市医改三年卫生总费用分析  

Financing of the regional health expenditure in Beijing from 2009 to 2011

作　　者：满晓玮[1] 蒋艳[1] 赵丽颖[1] 周宇琼[1] 房耘耘[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《中国卫生政策研究》2013年第11期55-59,共5页Chinese Journal of Health Policy

基　　金：北京中医药大学卫生服务与卫生经济研究创新团队(2011-CXTD-17);北京市卫生局"北京市卫生总费用核算研究"项目

摘　　要：目的:分析2009—2011年北京市卫生筹资水平、结构及变化趋势。方法:利用筹资来源法核算卫生总费用,卫生费用评价方法进行数据分析。结果:2009—2011年,北京市卫生总费用从689.60亿元增长到977.26亿元,年均增长12.42%,人均卫生总费用年均增长4.82%;城乡居民个人现金卫生支出占可支配收入(纯收入)及占消费性支出的比重均呈下降趋势;社会医疗保障经费年均增长19.36%,占卫生总费用比重增加5.44%。结论:医改三年政府对卫生投入力度加大,卫生筹资结构更加合理;社会医疗保障范围不断扩大,实现城乡居民全覆盖,医疗保障经费增长迅速;居民就医负担呈下降趋势,但城乡就医负担差异明显。建议:扩大卫生筹资渠道,深入分析卫生筹资差异存在的原因。Objective：To analyse the level,structure and trend of the regional health expenditure in Beijing from 2009 to 2011.Method：The method of health financing was used to calculate the regional health expenditure and the evaluation method of health expenditure was used to analyse the data.Results：From 2009 to 2011,the regional health expenditure of Beijing increased from RMB 68.96 to RMB 97.73 billion,with an average annual increase of 12.42％.Health expenditure per capita experienced an average annual increase of 4.82％.The personal health expenditure of urban and rural residents in Beijing of disposable income,as well as the total consumption expenditure proportion decreased.Social medical insurance funds experienced an average annual increase of 19.36％.The proportion of total health expenditure increased by 5.44％.Conclusion：Government investment on health is increasing,and the healthcare financing structure is more reasonable.Social medical insurance coverage of urban and rural residents is also expanding.Full coverage of medical insurance is yet to be achieved,but medical insurance funds are growing more quickly.During the period of the healthcare reform,the medical burdens on residents are decreasing,but the difference between urban and rural medical care burdens is increasing.Suggestion：Expand the health financing channels,and determine the reason for disparity between urban and rural medical burdens.

关 键 词：卫生总费用 筹资水平 结构 变化趋势 

分 类 号：R197[医药卫生—卫生事业管理]