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目的以成都市为例,探讨采用机构法测算省会级城市卫生总费用的方法,为省会级城市卫生总费用测算提供参考。方法采用国家级卫生总费用机构法及2种改良的卫生总费用机构法测算2013年成都市卫生总费用。结果 3种方法测算成都市2013年卫生总费用分别为441.71亿元,521.29亿元和583.71亿元;医院费用分别为298.79亿元,394.63亿元及436.06亿元;城市医院费用分别为183.16亿元,291.24亿元和320.42亿元。方法 2、3与方法 1比较,测算的卫生总费用要高出很多,其主要原因是医院费用的测算差别较大。结论由于省会级城市卫生财务年报和卫生统计年报数据统计口径不一致,造成采用现行国家级机构法测算省会级城市卫生总费用偏低。可根据实际情况采用2种改良的机构法测算。
Objective To take Chengdu as an example to discuss the method of using agency method to calculate the total cost of health in capital city and to provide reference for the calculation of the total cost of health in capital city. Methods The total health expenditure of Chengdu in 2013 was calculated using the national health total cost institution method and two kinds of improved total health expenditure body method. Results The three methods estimated that the total health expenditure of Chengdu in 2013 was 44.171 billion yuan, 52.129 billion yuan and 58.371 billion yuan respectively; the hospital expenses were 29.879 billion yuan, 39.463 billion yuan and 43.606 billion yuan respectively; the costs of urban hospitals were 18.316 billion yuan , 29.124 billion yuan and 32.042 billion yuan. Methods 2 and 3, compared with the method 1, the total cost of health measures to be much higher, the main reason is the difference between the cost of hospital estimates. Conclusion Due to the discrepancy of statistical data of provincial health financial annual reports and annual statistics of health statistics, the total national health expenditure of provincial capitals is estimated to be low by the current state-level agency method. According to the actual situation using two kinds of improved agency method.