我国卫生总费用构成情况的聚类分析

摘要

Objectives To understand the composition of the total health expenditure in China,and analyze the differences among different provinces and cities.Methods Cluster analysis method was used to cluster the total health expenditure of China in 201 1,and then analyze and describe the differences between different catego-ries.Results Considering the distance between classes and the number of appropriate categories,30 provinces and cities are clustered into five categories,including of one,five,six,eleven,seven provinces respectively;each category has its own characteristics.For example,Shanghai city is grouped into the first type,of which social health expendi-ture accounts for the largest proportion of total health expenditure;also there were differences among the five catego-ries in the total amount of social health expenditure,the amount of personal health expenditure etc. Conclusions There are great differences in the composition of health expenditure among the 30 provinces and cities in our coun-try.The government,society and individuals should balance the duty and do his duty in health financing.%目的：了解我国各省市卫生总费用的构成情况,分析不同省市之间的差异,为各地优化其内部卫生总费用的构成比例更加合理提供依据。方法对中国卫生统计年鉴中2011年各地区卫生总费用进行聚类分析,并分析不同类别间的差异。结果考量到类与类之间的距离以及合适的类别数,30个省市被聚类成了5个类别类：分别含有1,5,6,11,7个省市；各个类别均具有其自身的特点,例如被单独分为1类的上海市的显著特征是社会卫生支出占其卫生总费用的比重最大；5个类别在社会卫生支出总量、个人卫生支出总量、人均卫生总费用以及卫生总费用上均存在差别。结论我国30个省市卫生总费用的构成情况有较大差异,不同省市间的政府卫生支出、社会卫生支出以及个人卫生支出在卫生总费用的构成情况不尽相同,应平衡政府、社会以及个人在卫生筹资中的责任。