2011-2020年广西卫生总费用筹资水平与结构分析  

Analysis of financing level and structure of total health expenditure from 2011 to 2020 in Guangxi

作　　者：吴腾燕 黄子娴 WU Tengyan;HUANG Zixian(School of Information and Management,Guangxi Medical University,Nanning Guangxi 530021,China)

机构地区：[1]广西医科大学信息与管理学院,广西南宁530021

出　　处：《卫生软科学》2023年第9期69-74,共6页Soft Science of Health

基　　金：2021年广西健康与经济社会发展研究中心课题(2021RWB04);2022年广西高校中青年教师科研基础能力提升项目(2022KY0094)。

摘　　要：[目的]分析2011-2020年广西卫生总费用的筹资水平与结构情况,总结广西卫生筹资取得的成绩及面临的问题,提出完善卫生筹资的政策建议。[方法]运用筹资来源法和结构变动分析法,对2011-2020年广西卫生总费用的筹资水平、变化趋势及结构变动情况进行分析。[结果]广西卫生总费用从2011年的665.67亿元增加到2020年的1663.74亿元,卫生总费用占GDP比重从2011年的6.45%上升到2020年的8.48%,人均卫生总费用从2011年的1433.08元上升到2020年的3314.90元,但人均卫生总费用仍低于全国同期平均水平,卫生消费弹性系数波动较大(0.20~3.24)。政府、社会、个人卫生支出占比分别由2011年的39.13%、28.41%、32.46%变化为2020年的38.99%、33.82%、27.19%,社会卫生支出和个人卫生支出的结构变动值和结构变动贡献率均较高,分别为5.41%(50.00%)和-5.27%(48.74%)。[结论]广西卫生总费用规模不断增长,筹资结构不断优化,个人卫生负担有所减轻。但仍需关注人均卫生总费用水平的提升及筹资体系的公平、高效和可持续性。Objective To analyze the financing level and structure of total health expenditure from 2011 to 2020 in Guangxi,summarize the achievements and problems of health financing and put forward the policy suggestions for improving health financing in Guangxi.Methods The methods of financing source and structural change analysis were applied to analyze the financing level,changing trend and structural changes of the total health expenditure from 2011 to 2020 in Guangxi.Results The total health expenditure increased from 66.567 billion yuan in 2011 to 166.374 billion yuan in 2020.The proportion of total health expenditure in GDP rose from 6.45%in 2011 to 8.48%in 2020,The total health expenditure per capita rose from 1433.08 yuan in 2011 to 3314.9 yuan in 2020,but the total health expenditure per capita was still lower than the national average level in the same period.The elasticity coefficient of health expenditure fluctuated greatly(0.20-3.24).The proportion of government,social and personal health expenditure changed from 39.13%,28.41%and 32.46%in 2011 to 38.99%,33.82%and 27.19%in 2020,respectively.The value of structural variation(VSV)and contribution rate of structural variation(CSV)of social health expenditure and personal health expenditure were high,which were 5.41%(50.00%)and-5.27%(48.74%)respectively.Conclusions The scale of the total health expenditure in Guangxi has been increasing.The financing structure has been optimized,and the personal health burden has been reduced.However,attention remains to be paid to raising the level of total health expenditure per capita and to making financing systems equitable,efficient and sustainable.

关 键 词：卫生总费用 卫生筹资 筹资结构 结构变动 广西 

分 类 号：R197.3[医药卫生—卫生事业管理]