贵州省卫生总费用筹资水平及结构分析  

Analysis on the Financing Level and Structure of the Total Health Expenditure in Guizhou Province

作　　者：周明华 冯毅[1] Zhou Minghua(Center for Health Policy and Management,School of Management,Zunyi Medical University,Zunyi,563003)

机构地区：[1]遵义医科大学管理学院卫生政策与管理研究中心,遵义563003 [2]泸州市人民医院行政办公室,泸州646000

出　　处：《医学与社会》2019年第10期34-37,共4页Medicine and Society

基　　金：贵州省社科联理论创新课题,编号为GZLCLH-2018-097

摘　　要：目的:分析贵州省卫生总费用筹资水平和结构,为区域医疗卫生费用管理提供科学依据。方法:采用卫生消费弹性系数、构成比和增长速度等对贵州省卫生总费用进行分析。结果:贵州省卫生总费用以12%的速度逐年递增,卫生总费用占GDP比例在6.90%以上。卫生总费用筹资结构不合理,2016年政府卫生支出占比45.88%,社会卫生支出仅占30.76%,个人卫生支出占比23.36%。卫生消费弹性系数2014年以后保持在1.10以上,卫生总费用增长速度快于GDP增长速度。结论:贵州省卫生总费用增长趋势明显,仍有增长空间;卫生筹资结构不合理,需平衡政府、社会和个人支出;卫生消费弹性系数较大,需警惕卫生总费用增长过快对社会经济的影响。Objective:To analyze the financing level and structure of total health expenditure in Guizhou province and provide a scientific basis for the management of regional medical and health expenses.Methods:The health consumption elasticity coefficient,composition ratio,growth rate and related index were used to analyze the total health expenditure in Guizhou Province.Results:The total health expenditure in Guizhou Province was increasing at an annual rate of 12%,and the total health expenditure accounts for 6.90%of GDP.The financing structure of total health expenditure was unreasonable.Government health expenditure accounted for 45.88%,social health expenditure only accounted for 30.76%,and personal health expenditure accounted for 23.36%in 2016.The coefficient of elasticity of health consumption was above 1.10 after 2014,and the growth rate of total health expenditure was faster than that of GDP.Conclusion:The growth trend of total health expenditure is obvious and there is still room for growth.The health financing structure is unreasonable and needs to balance government,social and personal expenditure.It is necessary to be alert to the impact of excessive growth in total health costs on the social economy.

关 键 词：卫生总费用 政府卫生支出 社会卫生支出 个人卫生支出 贵州 

分 类 号：R195.1[医药卫生—卫生统计学]