中国卫生资源Issue(5)：322-326,345,6.
2012年上海市卫生总费用核算研究
Research on Shanghai health accounts,2012
摘要
Abstract
Health accounts is a macro method which has been widely applied to measure health financing internationally. Shanghai has launched the health accounts research project since 2008,and it has been included in routine work. In 2012,Shanghai total expenditure on health(TEH)reached 109.24 billion yuan RMB,accounting for 5.4% of gross domestic product(GDP),and TEH per capita was 4 589 yuan RMB. From the perspective of financing structure,government expenditure on health accounted for 21.3%,social expenditure on health accounted for 59.2%,and out-of-pocket payment(OOP)accounted for 19.5%. Overall,in previous years,Shanghai health financing presented some characteristics of the improvement in adequacy,financing structure and sustainability,while it also faced the problems of insufficient use of funding and heavy burden of medical expense in some population groups. Four interventions are suggested as follows:rationally guiding and controlling the increasing of TEH,integrating health funding,improving efficiency of funding use,and targeting the focus groups and releasing the burden of medical expense. It is expected that these measures could release residents’ burden of medical expense,and improve people health.关键词
卫生总费用/筹资/个人现金卫生支出Key words
health accounts/financing/out-of-pocket payment分类
医药卫生引用本文复制引用
金春林,李芬,王力男,王常颖,丁汉升,胡善联..2012年上海市卫生总费用核算研究[J].中国卫生资源,2014,(5):322-326,345,6.基金项目
上海市公共卫生重点学科建设基金资助项目（卫生经济学）（12GWZC0601）；美国中华医学基金会卫生系统研究与政策转化合作项目 （）
