2004—2014年黑龙江省居民个人现金卫生支出变化趋势研究  

Study on Change of Out-of-pocket Health Payment in Heilongjiang Province during 2004-2014

作　　者：程怀志[1] 郭斌[1] 戴红[1] 王彩霞[1] 罗树新[1] 谢欣[2] CHENG Huaizhi;GUO Bin;DAI Hong(Daqing Campus of Harbin Medical University,Daqing,Heilongjiang,163319,China)

机构地区：[1]哈尔滨医科大学大庆校区,黑龙江大庆163319 [2]宜宾市疾病预防控制中心,四川宜宾644000

出　　处：《中国社会医学杂志》2018年第5期539-542,共4页Chinese Journal of Social Medicine

基　　金：教育部人文社会科学研究青年基金项目(12YJCZH060);黑龙江省卫生和计划生育委员会科研课题(2016-208);哈尔滨医科大学大庆校区导师基金(XQJJ2015001)

摘　　要：目的比较分析新医改实施前后5年内,黑龙江省居民个人现金卫生支出的变化情况。方法利用卫生统计年鉴,收集2004—2014年期间黑龙江省卫生总费用以及个人现金卫生支出等相关数据,对比分析黑龙江省现金卫生支出的变化情况。结果 11年期间,黑龙江省居民个人现金卫生支出比重明显下降,降低了20%以上,2014年为39.9%,仍高于全国的平均水平(32.0%)。与各个地区之间横向比较发现,黑龙江省个人现金卫生支出比重明显较高。结论建议进一步完善医疗保障制度,缩小各地区之间比重的差距,提高医疗保障水平及其公平性。Objective To compare and analyze the change of out-of-pocket health payment（OOP）in Heilongjiang province before and after the implement of new medical reform.Methods The data on total health expenditure and OOP during the period of 2004-2014 in Heilongjiang was collected from China Health Statistical Yearbook to compare and analyze the change of OOP.Results The study found that the proportion of OOP in Heilongjiang province had been a significant drop in the past 11 years with 20% reduction.The proportion of OOP was 39.3% in 2014,still higher than the average of 32.0% in China.Compared with other regions,the proportion of OOP in Heilongjiang province was heavier burden.Conclusion The government needs to perfect the medical insurance system,reduce the gap about the proportion of OOP between regions,improve the level of health care and equity of the health service.

关 键 词：卫生总费用 个人现金卫生支出 变化趋势 

分 类 号：R197.1[医药卫生—卫生事业管理]