四川省2002—2012年卫生总费用机构流向及构成研究

谭玲; 杨练; 李见; 熊新文; 黄云霞

doi:10.11847/zgggws2014-30-09-36

四川省2002—2012年卫生总费用机构流向及构成研究

Distribution of total expenditure on health by health institutions in Sichuan province, 2002 to 2012

摘要

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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