| 引用本文: |
达哇卓玛,胡原生,胡晓斌,等.1995—2014年甘肃省社会卫生支出趋势性研究[J].中国卫生经济,2017,(7):63-66.[点击复制] |
.Trend Research for Social Health Financing in Gansu Province from 1995～2014[J].CHINESE HEALTH ECONOMICS,2017,(7):63-66.[点击复制] |
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| 摘要: |
| 目的：通过分析甘肃省社会卫生支出状况及其变动趋势，揭示甘肃省社会卫生筹资现状，为提高社会卫生筹资能力提供依据。方法：基于省级卫生总费用来源法核算社会卫生支出，计算增长速度，分析其变动趋势。结果：连续20年甘肃省社会卫生支出呈现“W”型筹资特点。1995～2002呈现明显下降趋势， 2002年占卫生总费用比重最低，仅为18.87%；2003～2005年先升后降。2006年呈缓慢的上升趋势，2014年占卫生总费用比重为 28.82%；社会卫生支出构成中社会基本医疗保险和社会办医支出为主，商业保险比重偏低，2014年占社会卫生筹资比重只有9.54%。2014年甘肃省社会卫生支出占卫生总费用比重低于全国平均约10个百分点，人均社会卫生筹资仅为633.69元，低于全国平均水平350元。结论：甘肃省社会卫生筹资能力增长缓慢，筹资能力严重不足，筹资模式和筹资渠道亟待完善优化。 |
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| Trend Research for Social Health Financing in Gansu Province from 1995～2014 |
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| Abstract: |
| Objective: To analyze and study the social movements in health financing conditions and explore diversified financing channels, to provide a scientific basis for improving the situation and the ability of the social health financing of Gansu Province. Methods: This research used the dates come from total health expenditure accounts in Gansu Province, then calculate the growth rate, analyze the trend of change. Results: For 20 consecutive years, the social health expenditure in Gansu Province showed "W" characteristics which showed a significant downward trend from 1995 to 2002, the proportion of total expenditure on health in 2002 showing the lowest proportion, only for 18.87%; and 2003 to 2005, present the first rise and declined subsequently . The proportion of total health expenditure was 28.82% in 2014. The proportion of social health expenditure in social basic medical insurance and social medical expenditure was low and the proportion of commercial insurance was low in 2014, 9.54%. In 2014, the proportion of social health expenditure in total health expenditure in Gansu Province was lower than the national average level about 10 percentage points. The per capita social health financing was only for 633.69 yuan, lower than the national average which is 350 yuan. Conclusion: The financing capacity of social health in Gansu Province growing slowly, and financing capacity seems seriously shortage. The financing mode and channels need to be optimized soon. |
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