2023年中国卫生总费用核算结果与分析  

Results and Analysis of National Health Accounts in 2023 in China

作　　者：李岩 柴培培 冯静 郭锋 翟铁民 付晓光 万泉 Li Yan;Chai Peipei;Feng Jing(China National Health Development Research Center,Beijing,100044,China)

机构地区：[1]国家卫生健康委卫生发展研究中心,北京100044

出　　处：《中国卫生经济》2025年第2期1-6,共6页Chinese Health Economics

摘　　要：目的:核算2023年全国卫生总费用,分析2015年以来我国卫生筹资变化,总结当前我国卫生筹资面临的主要问题和挑战,提出完善卫生筹资的政策建议。方法:在核算卫生费用时,运用来源法和机构法,同时通过时间序列的指标分析法,对我国卫生总费用的变化情况展开分析。结果:2023年,我国卫生总费用为90575.81亿元,比上年增长6.77%,占国内生产总值的比重为7.00%,人均卫生总费用为6425.32元。其中,政府卫生支出占比降至26.66%,社会卫生支出占比升至46.01%,个人卫生支出占卫生总费用比重反弹至27.33%。结论:我国卫生总费用规模持续扩大,但增速趋缓,卫生筹资稳定与可持续待加强,需要加快构建健康优先发展的政府投入机制,完善社会医疗保险体系,引导资源合理配置,减轻居民就医负担。Objectives:Accounting Total Health Expenditure(THE)in 2023,analyzing the changes of health financing in China since 2015,summarizing the main problems and challenges faced by health financing in China at present,and putting forward policy suggestions to improve health financing.Methods:Health expenditure accounting methods by financing source and by health provider were applied,and the change of total health expenditure in China is analyzed through the index analysis of time series.Results:THE in 2023 in China was 9057.58 billion yuan,an increase of 6.77%over the previous year,accounting for 7.00%of GDP,and per capi-ta health expenditure was 6425.32 yuan.The proportion of government health expenditure in THE decreased to 26.66%,the propor-tion of social health expenditure increased to 46.01%,and the proportion of household Out-of-Pocket(00P)rebounded to 27.33%.Conclusions:The total scale of health expenditure in China continues to grow,but the growth rate slows down,and the stability and sustainability of health financing need to be strengthened.It is necessary to speed up the construction of a government investment mechanism based on health priority development,improve the social health insurance system,guide the rational resource allocation,and reduce the burden of medical treatment for residents.

关 键 词：卫生总费用 卫生筹资 政府卫生支出 社会卫生支出 个人卫生支出 

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]