基于“SHA 2011”的河南省经常性卫生费用核算结果分析  

Analysis on Accounting Results of Recurrent Health Expenditure in Henan Province Based on "SHA 2011"

作　　者：吴建[1] 穆子涵 蒋睿 马楠 杜晓楠 霍振昂 WU Jian;MU Zi-han;JIANG Rui(School of Public Health,Zhengzhou University,Zhengzhou,450001,China;不详)

机构地区：[1]郑州大学公共卫生学院,郑州450001 [2]河南省人民医院省直第二医院,郑州450052 [3]河南省医学科学院,郑州450004 [4]河南医学高等专科学校,郑州451191

出　　处：《中国卫生经济》2022年第3期51-54,共4页Chinese Health Economics

基　　金：河南省研究生教育改革与质量提升工程项目(YJS2021KC07)。

摘　　要：目的:核算分析河南省经常性卫生费用,揭示卫生健康资金在不同服务功能、机构、人群间的分配利用。方法:采用功能法核算河南省2017—2019年经常性卫生费用。结果:2019年,河南省经常性卫生费用为2 675.75亿元,占GDP比重为4.93%,人均经常性卫生费用为2 775.68元。服务功能方面,治疗、医疗用品、治理与管理、预防、辅助性服务的费用占比分别为83.24%、7.47%、5.41%、3.86%、0.02%;筹资来源方面,公共筹资方案、家庭卫生支出方案、自愿医疗保健支付方案占比分别为56.69%、32.62%、10.69%。费用分布方面,治疗费用集中在50~69岁人群(39.16%),65~69岁人群治疗费用占比最高(10.37%),0~4岁人群治疗费用占比为6.09%。结论:河南省应继续加大医疗资源投入力度,优先向基层倾斜;加大公共卫生领域投入,推进医防融合;优化筹资结构,通过重点干预控制幼儿和中老年人治疗费用。Objective:To calculate and analyze the recurrent health expenditure in Henan Province,and to reveal the distribution and utilization of health funds among different service functions,institutions and groups.Methods:The functional method was used to calculate the recurrent health expenditure in Henan province from 2017 to 2019.Results:In 2019,recurrent health expenditure of Henan Province was 267.575 billion yuan,accounting for 4.93% of GDP,and per capita recurrent health expenditure was 2 775.68 yuan.In terms of service function,the expenses of treatment,medical supplies,treatment and management,prevention,and auxiliary services accounted for 83.24%,7.47%,5.41%,3.86% and 0.02%,respectively.In terms of financing sources,public financing schemes,family health expenditure schemes and voluntary health care payment schemes accounted for 56.69%,32.62% and 10.69% respectively.In terms of cost distribution,the treatment cost of the province was concentrated in the 50-69 years old group(39.16%),the treatment cost of the 65-69 years old group accounted for the highest proportion(10.37%),the treatment cost of the 0-4 years old group accounted for 6.09%.Conclusion:It was suggested to continue to increase the investment of medical resources and give priority to the grass-roots level;increase input in public health and promote the integration of medical treatment and prevention;optimize the financing structure,and control the treatment costs of the young,middle-aged and elderly through key interventions.

关 键 词：卫生费用 卫生费用核算体系2011 河南 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F014.4[经济管理—政治经济学]