两种卫生总费用测算方法产生差异的原因辨析  

Analyzing the Causes of Differences between Two Types of Total Health Expenditure Measurement Methods

作　　者：于娣[1] 马月丹[2] 张抒[1] 李杰[3] 于润吉 姜潮[5] 潘国伟[1] 

机构地区：[1]辽宁省疾病预防控制中心,沈阳110005 [2]辽宁中医药大学,沈阳110847 [3]中国医科大学附属第一医院,沈阳110001 [4]辽宁省卫生经济学会,沈阳110005 [5]大连医科大学,辽宁大连116044

出　　处：《中国卫生经济》2014年第5期38-39,共2页Chinese Health Economics

摘　　要：目的:分析筹资来源法和机构法两种卫生总费用测算方法之间的联系和差异,从而做到正确选择卫生总费用评价指标。方法:对某省4个地级市2011—2012年卫生总费用采用筹资来源法和机构法进行测算,并对不同方法的测算结果产生的差异数额及其原因进行比较分析。结果:由于反应资金运动角度不同,两种方法的测算结果存在有很大差异。4个地级市2011年和2012年均出现筹资来源法比机构法测算结果要高,且越是经济发达的地区,数据差距越大。结论:两种方法的测算结果产生差异的原因包括社会保障经费结余、人口向外流动、危重病人转院以及测算指标体系不同等,在测算时要根据实际需要选择相应的测算方法。Objective： To analyze the relationships and differences between the two total health expenditure calculation methods （by source and by provider）, so as to choose the evaluation index of total health expenditure correctly. Methods： Pooling resource method and institution method were adapted to measure total health expenditure from 2011 to 2012 in 4 cities of a province, compared the differences resulted by different measurement results and analyzed the reason. Results： Because of different action angel of reaction funds, there were great differences between these two methods. The results by source were higher than by provider, and the more economically developed region is, the larger the data gap is. Conclusion： The reasons for the differences between the two methods including the social security fund balance, population flowing outwards, the critically ill patients＇ transferring and the different measurement index systems, the relative methods should be chosen according to the actual requirement.

关 键 词：卫生总费用 测算方法 

分 类 号：R197.1[医药卫生—卫生事业管理]