2001-2010年上海市卫生筹资变化分析.pdfVIP

口卫生筹资 《 中国卫生经济》 第 31 卷第 1 1 期 {总第 357 期} 2012 年 11 月 2001-2010 年上海市卫生筹资变化分析;: 金春林①，李芬①，王力男①，林海①，丁汉升①，付晨②，陈卓曹② 顾丽娟@，谢磊③， 陈雯④，谢之辉③，赵江青③，吴幸憨⑤，丁俊③ 摘 要 目的:了解上海市卫生筹资总额和结构情况。 方法:描述性分析和时间序列分析。 结果: 2001 -2010 年，上海市 对卫生事业投入适度增长，筹资结构逐步得到优化。 随着社会保险覆盖面的增加，卫生筹资的凤险降低，居民医疗卫生服务利 用率精加;但与社会经济发展水平相当的地区相比卫生总费用还处于精对较低水平，投入结构还不尽合理。 结论: 11日大对城镇 居民基本医疗保险、农村合作医疗等政府补贴型保险和公共卫生等方面的投入，迸一步转变投入方式，通过经济杠杆加大对需 方的引导和医疗服务提供方的约束力。 关键词 卫生总费用;政府卫生支出;社会卫生支出;个人现金卫生支出 中图分类号 R1世9; R-01 文献标识码 A 文章编号 1003-0743(2012)11- 0008-04 ，飞nalysis on thc change or Shanghai hcalth linancing rrmn 2()()1 20 10/ .J l i: Chun-lin. LI Fen . \\ANG Li -nan . et a l.// Chi!1rse Hea lth E(() !1ol1lics, 20 12.3 1( 11):8- 11 Abstract Objective: To get the pictu陀 of Total Expenditure on Health (TEH) of Shanghai. Method: Descriptive analysis and time 吨eries analysis. ResuJts: In 2001-2010, Shanghai had a Illodest growth in health input, the construction of health financing optimized. With the increase of health insurance coverage, the risk ()f health financing decreased and the utilization of heaIth service increased. However, (:ornpared with other regions , the total input wa s lower. Conclusion: It is proposed that increasing govemment subsidy 011 Medi cal insurance for urban re sidents, New Rural Cooperative Medical insurance, and the public health , further changing the input methods , guiding the behavior of patiel1ts and providers through economic leverage. Kcy words health expenditure 011 health , government health expenditure, social health expenditure, out -of -pocket health expenditure First-author s addrcss Shanghai Health Development Center. Shanghai Medi cal Information Center, Shanghai , 20∞40， China 卫生总费用是一个国家或地区在一定时期内(通常 1.2 筹