甘肃省卫生总费用筹资水平及结构分析

摘要

Objectives Based on the analysis of total health expenditure(THE)scale and its composition in Gansu Province from 2003 to 2012,we aim to evaluate the health funding burden of government,society and out-of-pocket in the macroscopic level,and provide the fundamental basis for the government on development and adjustment of health decision-making.Methods According to the study objective,we applied financing source to measure Gansu TEH.With the data of related Health Statistics Yearbook,we used Excel,SPSS13.0 software to make estima-tion.Results During 2003 to 2012,Gansu TEH and per capita TEH increased year by year,with their average annu-al growth rate respectively being 21.02% and 21.20%.The proportion of government expenditure on health in-creased from 22.40% to 37.97%.Social health expenditure had little changes in proportion,reached 25.62% in 2012.The proportion of the out-of-pocket expenditure on health was reduced from 53.85% to 36.41%.Conclusions The total expenditure on health in Gansu was gradually increasing,but there were still a wide gap between the per capita levels compared with the national per capita level.It is needed to strengthen the government's responsibili-ty.The government should play a leading role in the basic medical and public health services and improve the total health expenditure accounting work.%目的：运用筹资来源法对2003—2012年甘肃省卫生总费用进行测算,初步了解甘肃省卫生总费用筹资水平及结构,从宏观上分析政府、社会和个人筹资负担,为甘肃省制定和调整卫生政策提供科学的参考依据。方法根据研究目的,运用筹资来源法,查阅相关统计年鉴及统计公报,得到相关指标,建立相应的数据库,应用 Ex-cel、SPSS 19.0等软件对数据进行统计和分析。结果2003—2012年甘肃省卫生总费和人均卫生总费用呈逐年增加趋势,平均增长速度分别为21.02%和21.20%。2003—2012年政府卫生支出占卫生总费用比重由22.40%上升至37.97%；社会卫生支出所占比重有较小波动,总体上有所增加,2012年达到25.62%；个人卫生支出所占比重由2003年的53.85%降至2012年的36.41%。结论甘肃省卫生筹资水平不断提高,但人均卫生总费用偏低；卫生筹资结构有待完善,应建立长效的政府卫生投入机制；同时甘肃省应深化卫生总费用核算等工作。