四川省卫生总费用筹资特征及结构变迁分析  

Analysis on funding characteristics and structural changes of total health expenditure in Sichuan Province

作　　者：周明华[1] 谭红 何思长 ZHOU Ming-hua;TAN Hong;HE Si-zhang(Administration Office of Luzhou People s Hospital,Luzhou Sichuan 646000,China;Oral and Maxillofacial Reconstruction and Regeneration Lab of Southwest Medical University/Affiliated Stomatological Hospitalof Southwest Medical University,Luzhou Sichuan 646000,China;Information and Statistics Department of Affiliated Hospital of Southwest Medical University,Luzhou Sichuan 646000,China)

机构地区：[1]泸州市人民医院行政办公室,四川泸州646000 [2]西南医科大学口腔颌面修复重建与再生实验室/西南医科大学附属口腔医院,四川泸州646000 [3]西南医科大学附属医院信息与统计部,四川泸州646000

出　　处：《卫生软科学》2022年第9期55-59,共5页Soft Science of Health

基　　金：泸州市人民政府-西南医科大学科技战略合作项目(2020LZXNYDR10)。

摘　　要：[目的]分析四川省卫生总费用筹资特征及结构变迁情况,为四川省优化卫生总费用筹资结构提供科学的依据。[方法]以全国作为参照,运用描述性分析法和对比分析法分析四川省卫生总费用筹资特征,运用偏离-份额分析法分析四川省卫生总费用结构变迁情况。[结果]四川省卫生总费用占GDP比例2016年以来超过了8%,高于全国平均水平1.1个百分点以上;政府卫生支出占财政支出比例高于全国平均水平1.7个百分点以上。卫生消费弹性系数2017年以前高于全国平均水平。2018年政府卫生支出、社会卫生支出和个人卫生支出比例分别为27%、45%和28%。卫生总费用份额偏离分量全部为正数,政府卫生支出除2015年外,个人卫生支出除2016年外的总偏离分量小于0;政府卫生支出除2015年外,个人卫生支出的结构偏离分量小于0,政府卫生支出除2016年和2019年外及个人卫生支出除2015年、2016年和2019年外的竞争力偏离分量小于0。[结论]卫生总费用增速较快,卫生消费弹性系数波动大;社会卫生支出比例偏高,政府和个人卫生支出比例偏低;四川省卫生总费用整体不具有结构性优势和竞争力优势。Objective Analyze the financing characteristics and structural changes of total health expenditure in Sichuan Province so as to provide scientific basis for optimizing the financing structure of total health expenditure in Sichuan Province.Methods Taking the whole country as a reference,we used descriptive analysis and comparative analysis to analyze financing characteristics of total health expenditure in Sichuan Province,and use shift-share analysis to analyze the changes in the structure of total health expenditure in Sichuan Province.Results The total health expenditure in Sichuan province had accounted for more than 8%of GDP since 2016,which was more than 1.1 percentage points above the national average.The proportion of Sichuan government health expenditure to fiscal expenditure was 1.7 percentage points which was higher than the national average.The elasticity of health consumption was higher than the national average before 2017.In 2018,the proportions of government health expenditure,social health expenditure and personal health expenditure was 27%,45%,and 28%,respectively.All deviations from the share of total health expenditure were positive.The total deviation component of government health expenditure except 2015 and personal health expenditure except 2016 was less than 0.Except 2015,the structural deviation component of personal health expenditure of government health expenditure was less than 0,and the competitiveness deviation component of government health expenditure except 2016 and 2019,personal health expenditure except from 2015 to 2016 and 2019 was less than 0.Conclusions The total health expenditure has increased rapidly,and the elasticity coefficient of health consumption fluctuates greatly.The proportion of social health expenditure is relatively high,and the proportion of government and personal health expenditure is relatively low.The total health expenditure in Sichuan Province does not have structural and competitive advantages.

关 键 词：卫生总费用 筹资特征 偏离-份额分析 结构变迁 四川省 

分 类 号：R195[医药卫生—卫生统计学] R197.1[医药卫生—卫生事业管理]