[1]李 岩,张毓辉,万 泉,等.2020年中国卫生总费用核算结果与分析[J].卫生经济研究,2022,39(1):2-6.
　LI Yan,ZHANG Yu-hui,WAN Quan,et al.Results and Analysis of National Health Accounts in 2020 in China[J].Journal Press of Health Economics Research,2022,39(1):2-6.
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2020年中国卫生总费用核算结果与分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年1期
页码:
2-6
栏目:
特稿
出版日期:
2022-01-07

文章信息/Info

Title:
Results and Analysis of National Health Accounts in 2020 in China
作者:
李 岩1; 张毓辉1; 万 泉1; 付晓光1; 翟铁民1; 柴培培1; 郭 锋1; 王荣荣1; 陈春梅1; 李 涛1
1.国家卫生健康委卫生发展研究中心，北京 100044
Author(s):
LI Yan;  ZHANG Yu-hui;  WAN Quan;  FU Xiao-guang;  ZHAI Tie-min;  CHAI Pei-pei;  GUO Feng;  WANG Rong-rong;  CHEN Chun-mei;  LI Tao
China National Health Development Research Center, Beijing 100044, China
关键词:
卫生筹资; 卫生总费用; 政府卫生支出; 社会卫生筹资; 个人卫生支出
Keywords:
health financing;  total health expenditure;  government health expenditure;  social health expenditure;  out-of-pocket payment
分类号:
R19
文献标志码:
A
摘要:
目的:核算2020年中国卫生总费用，分析“十三五”时期中国卫生筹资取得的成绩，总结当前中国卫生筹资面临的主要问题，提出完善卫生筹资体系的政策建议。方法:采用来源法和机构法核算卫生费用，采用时间序列的指标分析法分析中国卫生总费用变化情况。结果: 2020年中国卫生总费用为72 175.00亿元，占GDP比重为7.12%，人均卫生总费用为5 112.34元。其中，个人卫生支出占卫生总费用比重降至27.65%，实现了“十三五”规划目标；政府卫生支出占比升至30.40%；社会卫生支出占比降至41.94%。“十三五”期间，中国卫生总费用年均增长9.60%。结论:“十三五”期间，中国卫生总费用保持较快增长，筹资结构明显优化。受新冠肺炎疫情影响，政府卫生投入大幅增长，个人卫生支出相对比重下降明显，但未来政府卫生投入可持续性面临较大挑战，需促进多层次医疗保障体系发展，提升筹资保障水平与人民群众获得感。
Abstract:
Objective To estimate total health expenditure (THE) in 2020 in China, analyze the main achievements in health financing during the 13th Five-Year Planning period, summarize the main issues and challenges faced by health financing system, and propose policy suggestions for improving health financing policy. Methods Health expenditure accounting methods by financing source and by health provider were applied, and time series data was analyzed to examine the changing trend of health expenditure in China. Results THE in 2020 in China was 7217.50 billion Yuan, accounting for 7.12% of GDP, and average THE per capita was 5112.34 Yuan. The share of out-of-pocket payment (OOP) decreased to 27.65%, which met the goal set in the 13th Five-Year Planning. The share of government health expenditure increased to 30.40%, while the share of social health expenditure dropped to 41.94%. During the period of the 13th Five-Year Planning, the annual average growth rate of THE was 9.60%. Conclusion During the period of the 13th Five-Year Planning, the growth of THE was at a relatively fast rate. And the structure of health financing showed an obvious optimization. It has been seen a great increase in government health investment and an significant decrease in the share of OOP during the COVID-19 pandemic. However, the sustainability of government health investment maybe difficult to maintain in the future. It is necessary to promote the development of a multi-level medical insurance system, and improve the level of financing and people's sense of gain.

参考文献/References:

[1] World Health Organization.Global health expenditure database [EB/OL].(2021-12-17)[2021-12-18].http://apps.who.int/nha/database/Select/Indicators/en.
[2] World Health Organization.Global expenditure on health:public spending on the rise?[R].2021.
[3] 陈春梅，郭锋，李岩，等.新医改以来我国政府卫生投入评估分析——基于卫生筹资政策分析框架[J].卫生经济研究，2021，38（7）：12-16,20.
[4] 万泉，翟铁民，李岩，等.新中国70年卫生投入回顾与展望[J]. 中国卫生政策研究，2019，12（11）：1-5.
[5] 国家医保局.2020年全国医疗保障事业发展统计公报[EB/OL]. （2021-06-08）[2021-12-18].http://www.nhsa.gov.cn/art/2021/6/8/art_7_5232.html. [6] 翟铁民，张毓辉，万泉，等.2018年中国卫生总费用核算结果与分析[J].中国卫生经济，2020，39（6）：5-8.

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更新日期/Last Update: 2022-01-07