基于“卫生费用核算体系2011”的北京市经常性卫生费用核算结果

摘要

Objective:To make the health expenditure accounting results serve the adjustment of health policy better.Methods:Combined with the actual situation in Beijing,the China's health expenditure accounting methods was applied based on System of Health Accounts 2011 (SHA2011) to estimate Beijing current health expenditure in 2015.Results:Beijing current health expenditure in 2015 was 1 614.28 yuan,which accounted for 7.03％ of GDP.According to the financing resource,Public financing scheme,voluntary funding scheme and household out-of-pocket payment accounted for 58.19％,10.92％ and 30.89％.Accounting to the distribution,expenditure in hospital,primary-level medical and healthcare institutions,disease prevention institution and drug retail institutions accounted for 65.53％,8.56％,2.72％,2.06％ and 17.42％.According to the function consumption,expenditure on curative care,drug and medical supplies and preventive care costs accounted for 17.47％,5.46％ and 73.42％％.Conclusion:Total current health expenditure in Beijing was reasonable.Public financing ability was strong.Most of the fund flew to the hospital and drug retail institutions.Curative care and drug consumption were the main parts.%目的:使卫生总费用核算结果更好的服务于卫生政策调整.方法:使用基于“卫生费用核算体系201 1”的我国卫生费用核算方法,并结合了北京的实际情况,核算北京市2015年经常性卫生费用.结果:2015年北京市经常性卫生费用为1 614.28亿元,,占GDP的比重为7.03％;从筹资来源来看,公共筹资方案、自愿筹资方案及家庭卫生支出占比分别为58.19％、10.92％及30.89％;从机构流向来看,流向医院、基层医疗卫生机构、预防机构、门诊机构及药品零售机构的费用分别为65.53％、8.56％、2.72％、2.06％及17.42％;从功能消耗来看,用于治疗服务、药品及其他医疗服务用品、预防服务的费用分别占73.42％％、17.47％、5.46％.结论:北京市经常性卫生费用总量合理,公共筹资能力较强,大部分资金流向了医院和药品零售机构,治疗及购药是卫生服务消费主体.