山东省卫生总费用筹资特征及结构变迁分析  

Analysis of Financing Characteristics and Structural Changes of Total Health Expenditure in Shandong Province

作　　者：沈秀兰 徐文 SHEN Xiulan;XU Wen(School of Pharmacy,Shandong University of Traditional Chinese Medicine,Jinan,250300,China;不详)

机构地区：[1]山东中医药大学药学院,山东济南250300 [2]山东中医药大学管理学院,山东济南250300

出　　处：《中国社会医学杂志》2025年第1期122-127,共6页Chinese Journal of Social Medicine

基　　金：山东省高等教育本科教学改革研究项目(M2022137)。

摘　　要：目的通过对比广东省和全国卫生总费用筹资结构,研究2010-2019年山东省卫生总费用的结构优劣及变迁状况,为改善山东省卫生费用筹集提供政策依据。方法以2010-2019年全国卫生总费用筹资结构为参照,使用描述性分析和对比分析法,分析山东省和广东省卫生总费用筹资结构相关数据,以偏离-份额分析法分析其的结构变迁情况。结果2010-2019年,全国卫生总费用增长率为14.21%;山东省卫生总费用平均增长率为13.39%,总偏离分量、结构偏离分量和竞争力偏离分量分别为-66.84、-40.91和-25.93;广东省卫生总费用平均增长率为14.72%,总偏离分量、结构偏离分量和竞争力偏离分量分别为84.39、5.77和78.62。结论山东省卫生总费用不具有结构性和竞争性优势,需控制卫生总费用增长,优化筹资结构,优化各级医疗卫生服务模式,深入落实医改政策,让优质的医疗卫生服务惠及全民。Objective By comparing the financing structure of total health expenditure in Shandong province,Guangdong province and the whole country,this paper studies the structure and changes of total health expenditure in Shandong province from 2010 to 2019,so as to provide policy basis for improving the raising of health expenditure in Shandong province.Methods Taking the financing structure of national total health expenditure from 2010 to 2019 as a reference,descriptive analysis and comparative analysis were used to analyze the relevant data of the financing structure of total health expenditure in Shandong province and Guangdong province,and the structural changes of the two provinces were analyzed by deviation-share analysis.Results From 2010 to 2019,the growth rate of national total health expenditure was 14.21%;the average growth rate of total health expenditure in Shandong province was 13.39%,and the total deviation component,structure deviation component and competitiveness deviation component were-66.84,40.91 and-25.93 respectively.The average growth rate of total health expenditure in Guangdong province was 14.72%,and the total deviation component,structure deviation component and competitiveness deviation component were 84.39,5.77 and 78.62 respectively.Conclusion The total health expenditure of Shandong province does not have structural and competitive advantages,and it is necessary to control the growth of the total health expenditure,optimize the financing structure,optimize the medical and health service model at all levels,and deeply implement the medical reform policy so that high-quality medical and health services can benefit the whole people.

关 键 词：卫生总费用 筹资结构 GDP水平 偏离-份额分析 

分 类 号：R197.1[医药卫生—卫生事业管理]