| 引用本文: |
满晓玮,赵璇,蒋艳,等.基于“卫生费用核算体系2011”的北京市经常性卫生费用核算结果[J].中国卫生经济,2018,(2):18-23.[点击复制] |
.The Accounting Results of Current Health Expenditure of Beijing District Based on SHA 2011[J].CHINESE HEALTH ECONOMICS,2018,(2):18-23.[点击复制] |
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| 摘要: |
| 摘要：目的：使卫生总费用核算结果更好的服务于卫生政策调整。方法：使用基于“卫生费用核算体系2011”的中国卫生费用核算方法，并结合了北京的实际情况，核算北京市2015年经常性卫生费用。结果：2015年北京市经常性卫生费用为1,614.28亿元，，占GDP的比重为7.03%；从筹资来源来看，公共筹资方案、自愿筹资方案、家庭卫生支出占比分别为58.19%、10.92%、30.89%；从机构流向来看，流向医院、基层医疗卫生机构、预防机构、门诊机构、药品零售机构的费用分别为65.53%、8.56%、2.72%、2.06%、17.42%；从功能消耗来看，用于治疗服务、药品及其他医疗服务用品、预防服务的费用分别占73.42%%、17.47%、5.46%。结论：北京市经常性卫生费用总量合理，公共筹资能力较强，大部分资金流向了医院和药品零售机构，治疗及购药是卫生服务消费主体。 |
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| The Accounting Results of Current Health Expenditure of Beijing District Based on SHA 2011 |
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| Abstract: |
| Abstract: Objective: To make the health expenditure accounting results serve the adjustment of health policy better. Methods: Use the China’’s health expenditure accounting methods based on System of Health Accounts 2011 (SHA2011), combined with the actual situation in Beijing, Beijing current health expenditure in 2015 was estimated. Results: Beijing current health expenditure in 2015 was 1,614.28 yuan, which accounted for 7.03% of GDP. Public financing scheme, voluntary funding scheme, household out-of-pocket payment accounted for 58.19%, 10.92%, 30.89%. Expenditure in hospital, primary-level medical and healthcare institutions, disease prevention institution, drug retail institutions accounted for 65.53%, 8.56%, 2.72%, 2.06%, 17.42%. Expenditure on curative care, drug and medical supplies, preventive care costs accounted for 17.47%, 5.46%, 73.42%%. Conclusion: Total current health expenditure in Beijing is reasonable. Public financing ability is strong. Most of the fund flows to the hospital and drug retail institutions. Curative care and drug consumption is the main part. |
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