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目的:描述2007—2014年广西卫生总费用的机构流向情况,为广西卫生资源配置提供参考依据。方法:运用机构法进行测算,并对结果进行描述性分析。结果:2007—2014年广西卫生总费用的年均增长速度高于地区生产总值的年均增长速度。绝大多数卫生资源流向医院等医疗机构,基层医疗机构费用所占比例较小,公共卫生费用所占比例有逐年降低的趋势。结论:以机构法测算结果显示,卫生投入流向失衡的局面得以改善,但未得到扭转,应进一步加强对医疗机构、基层医疗卫生机构和公共卫生服务政策层面的深入研究;引入卫生总费用功能法,更具体地回答如何筹集充足的资金,满足群众日益增长的医疗保健需求;如何有效地使用资金,提高资金的配置效率;如何建立合理的补偿机制和运行机制等问题,全方位多角度促进卫生资源配置的公平性、合理性、可及性和有效性。
Objective: To describe the institutional flow of Guangxi’s total health expenditure in 2007-2014 and provide a reference for the allocation of health resources in Guangxi. Methods: Using agency method to calculate, and descriptive analysis of the results. Results: The average annual growth rate of total health expenditure in Guangxi in 2007-2014 was higher than the average annual growth rate of regional GDP. The vast majority of health resources flow to medical institutions such as hospitals. The proportion of fees for primary medical institutions is small, and the proportion of public health expenditures tends to decrease year by year. Conclusion: The result of institutional method shows that the unbalance of the flow of health input can be improved but has not been reversed. Further research on the medical institutions, primary health care institutions and public health service policies should be further strengthened. The Health Total Cost Function , More specifically how to raise sufficient funds to meet the growing demand for healthcare from the masses, how to use funds effectively and improve the allocation efficiency of funds, how to set up reasonable compensation mechanisms and operational mechanisms, and promote health in all directions The fairness, rationality, accessibility and effectiveness of resource allocation.