Distribution of total expenditure on health by health institutions in Sichuan province, 2002 to 2012
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摘要: 目的 测算并分析四川省2002—2012年卫生总费用机构流向情况,为卫生资源配置政策提供参考依据。方法 运用机构流向法进行测算,并对核算结果进行综合分析,反映、 分析和评价四川省卫生资金机构流向的发展变化趋势。结果 2012年四川省机构流向卫生总费用为1 498.02亿元,医院费用、公共卫生机构费用分别为971.97和125.68亿元,分别占卫生总费用的64.88%和8.39%;2012年城市医院费用占医院费用的47.38%,卫生院和社区卫生服务中心费用分别占15.49%、2.54%;2002—2012年四川省机构流向卫生总费用平均增长速度为21.48%,医院费用、药品零售机构费用、公共卫生机构费用平均增长速度分别为17.43%、24.45%、19.60%。结论 四川省基层医疗机构资源配置需强化;公共卫生投入力度需加大。Abstract: Objective To estimate the amount of total expenditure on health(TEH)and its allocation among health institutions in Sichuan province from 2002 to 2012 and to provide references for making policies on health resource allocation.Methods TEH by health institutions method was used to estimate the distribution of TEH in Sichuan province,and the change trend in THE distribution was analyzed.Results The TEH allocated to health institutions in 2012 was 149.80 billions Yuan RMB and those allocated to hospitals and public health facilities were 97.20 billions Yuan RMB and 12.57 billions Yuan RMB,accounting for 64.88% and 8.39% of the TEH,respectively.For THE allocated to the hospitals,47.38% were distributed to the hospitals in urban areas,18.03% to town hospitals,and 2.54% to community health centers.The average growth rate of TEH was 21.48% and the average growth rate of THE allocated to hospitals,drug retail facilities,and public health facilities were 17.43%,24.45%,and 19.60%,respectively.Conclusion For THE allocation in Sichuan province,the important task is to optimize resources allocation to primary health care institutions and investment for public health programs should be increased.
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[1] 陈力,赵郁馨,刘国祥,等.天津市卫生筹资与资源配置研究[J].中国卫生经济,2008,27(9):12-18. [2] 张振忠,王禄生,杨洪伟.中国卫生费用核算研究报告[M].北京:人民卫生出版社,2008:20. [3] 万泉,谢小平,赵郁馨.卫生总费用与卫生资源配置研究[J].中国卫生经济,2009,28(4):21-23. [4] 孟庆跃.卫生经济学[M].北京:人民卫生出版,2013:36-37. [5] Asian Development Bank.Health sector reform in Asia and the Pacific:option for developing countries[R].Manila:Asian Development Bank,1999. [6] 毛正中,顾雪非,向国春,等.我国农村基层医疗卫生机构的补偿问题[J].卫生经济研究,2012(5):50-52. [7] 梁志强,尹爱田,韩志琰,等.县乡两级住院满意度及影响因素分析[J].中国公共卫生,2014,30(3):321-324. [8] 潘先海.我国疾病预防控制体系存在问题与对策[J].中国公共卫生,2004,20(10):1260-1261. [9] 崔霞.中国公共卫生服务体系绩效评价[J].中国公共卫生,2011,27(12):1612-1612. -

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