四川省经常性卫生费用核算结果:基于卫生费用核算体系2011

摘要

目的:核算四川省经常性卫生费用,为卫生相关政策的制定提供参考.方法:运用卫生费用核算体系2011(SHA 2011),分别从经常性卫生费用总量、机构流向、筹资方案、功能配置及受益人群等进行核算.结果:2014年四川省经常性卫生费用为1854.2亿元,占GDP的比重为6.5％.其中治疗费用和预防服务费用分别为1380.6亿元和183.9亿元,分别占74.5％和9.9％.经常性卫生费用中家庭卫生支出占比为36.9％,高于卫生总费用中家庭卫生支出占比31.7％.结论:居民就医负担仍较重,相关部门应予以重视.优化筹资结构,合理配置卫生资金;加强重点人群干预,增强居民防病意识.%Objective:To estimate current health expenditure in Sichuan province,and to provide references for designing related policies on health.Methods:Based on system of health account 2011(SHA 2011),it estimated the current health care expenditure by quantity,health provider,financing scheme,health function and beneficiary groups in Sichuan.Results:The current health care expenditure amounted to 185.42 billion yuan in 2014,amounting for 6.5％ of GDP,among which,curative care expenditure and preventive care expenditure were 138.06 billion yuan and 18.39 billion yuan,accounting for 74.5％ and 9.9％ separately.Household out-of-pocket(OOP) accounted for 36.9％,which was higher than that percentage of total expenditure on health(31.7％).Conclusion:Health relevant departments should pay attention to the heavy medical burden of residents.It needed to improve the financing construction and reasonably allocate health resources.Besides,it needed to strengthen the power of intervention on special groups and enhance the preventive consciousness of people.