2009~2019年广西城乡医疗救助基金收支现状  

Revenue and expenditure status of urban and rural medical assistance fund in Guangxi Province between 2009 and 2019

作　　者：蒋柳婷 罗红叶 冯启明 赵歆妍 韦波 JIANG Liu-ting;LUO Hong-ye;FENG Qi-ming;ZHAO Xin-yan;WEI Bo(School of Information and Management,Guangxi Medical University,Nanning 530021,China;Guangxi Medical Insurance Research Association,Nanning 530022,China)

机构地区：[1]广西医科大学信息与管理学院,南宁市530021 [2]广西医疗保险研究会,南宁市530022

出　　处：《广西医学》2021年第8期994-997,共4页Guangxi Medical Journal

基　　金：美国中华医学基金会项目(CMB-OC:14-203)。

摘　　要：目的分析2009~2019年广西城乡医疗救助基金收支现状,探寻优化对贫困群众开展医疗救助的对策。方法收集2009~2019年广西城乡医疗救助基金收入、支出、结余、救助人员情况等数据,分析城乡医疗救助基金收支现状。结果2009~2019年,广西城乡医疗救助基金收入和支出年均增长率分别为15.5%和19.3%。财政补助收入是每年医疗救助基金收入的主要来源,占本年收入的90%以上。2009~2019年医疗救助基金结余率最高超过了40%;基金累计结余总体过高,除2015年外,其他年份累计结余率都超过15%;截至2019年底,年末滚存结余约有12.94亿元。结论医疗救助基金收支虽持续增长,但收支十分不平衡;城乡医疗救助基金收入以财政补助收入为主,筹资模式单一;医疗救助基金总体结余过大,未得到充分利用。Objective To analyze the revenue and expenditure status of the urban and rural medical assistance fund in Guangxi Province between 2009 and 2019,and to explore the solutions to optimize medical assistance for the poor.Methods Data including income,expenditure and surplus of urban and rural medical assistance and rescuers situation in Guangxi from 2009 to 2019 were collected,and the revenue and expenditure status of the urban and rural medical assistance fund was analyzed.Results From 2009 to 2019,the average annual growth rates of urban and rural medical assistance income and expenditure in Guangxi were 15.5%and 19.3%,respectively.Financial subsidy income was the main source of annual medical assistance fund income,accounting for more than 90%of current year′s income.From 2009 to 2019,the highest balance rate of medical assistance fund exceeded 40%;and the cumulative fund balance was generally too high;except for 2015,the cumulative balance rate in other years exceeded 15%;as of the end of 2019,the year-end rollover balance was about 1.294 billion yuan.Conclusion Although the financial income and expenditure continue to grow,the income and expenditure are obviously unbalanced;financial subsidy income is the main source of the urban and rural medical assistance fund income,and the financing mode is unitary;the overall balance of the medical assistance fund is too large and underutilized.

关 键 词：城乡医疗救助 基金 收支现状 广西 

分 类 号：R197.1[医药卫生—卫生事业管理]