引用本文: 井淇,马安宁,孙经杰,等.结构变动视角下山东省医改前后卫生总费用筹资构成分析[J].中国卫生经济,2017,(12):46-48.[点击复制] .The Analysis on Shandong Composition of TEH before and after the Medical Reform Based on Structural Change[J].CHINESE HEALTH ECONOMICS,2017,(12):46-48.[点击复制]
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结构变动视角下山东省医改前后卫生总费用筹资构成分析
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摘要:
目的:对山东省医改前后卫生总费用构成变化进行对比分析,为政府部门掌握卫生总费用结构变化与趋势,合理引导卫生总费用增长与发展决策提供依据。方法:利用结构变动度、结构变动值、结构变动贡献率以及拉动力等方法分析山东省医改前后卫生总费用筹资构成变化情况。结果:个人卫生支出比例不断下降;社会卫生支出是影响卫生总费用结构主要方面;城乡居民个人现金卫生支出贡献率有差异;医改后社会医疗保障支出对于卫生总费用增长拉动力最大。结论:医改以来山东省卫生总费用构成趋于合理,取得一定成效,但还需在城乡个人现金卫生支出公平性方面进一步优化。
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The Analysis on Shandong Composition of TEH before and after the Medical Reform Based on Structural Change
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Abstract:
Objective: To analyze the structural change of Shandong TEH before and after the Medical Reform for giving references to government decision-making and TEH monitoring. Methods: Methods including VSV, DSV, Contribution rate and Driving force were used in the analysis of Shandong composition of TEH before and after the Medical Reform. Results: The composition of OOP was better after the Medical Reform; Social health expenditure acted as key factor for TEH structural change; The gap of contribution rate between urban and rural residents’ OOP existed; After the Medical Reform, the social insurance acted as key factor for composition of TEH. Conclusion: Shandong Composition of TEH was better after the Medical Reform. However, the gap between urban and rural residents’ OOP should be eliminated.
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