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目的:改进个人现金卫生支出核算方法,提高核算的准确性和国际比较的可比性。方法:利用上海市医疗费用相关数据,关联筹资机构流出金额与医疗服务提供者的流入金额关联起来,根据数据间平衡关系测算个人现金卫生支出。结果:按照新的核算方法,上海市个人现金卫生支出占卫生总费用的比例为26.2%,比原核算方法高5.4个百分点。与其他调查数据交叉核对,认为新方法核算结果准确度较高。结论:新核算方法核算结果较为准确,数据来源较稳定。
OBJECTIVE: To improve the method of accounting for individual cash health expenditure and to improve the accuracy of accounting and the comparability of international comparisons. Methods: Based on the data of medical expenses in Shanghai, the outflow of related financing institutions and the inflow of medical service providers were correlated, and personal cash health expenditure was calculated according to the balance of data. Results: According to the new accounting method, the proportion of Shanghai’s individual cash health expenditure in the total health expenditure was 26.2%, 5.4 percentage points higher than the original accounting method. Cross-checking with other survey data, that the accuracy of the new method of accounting results higher. Conclusion: The results of the new accounting method are more accurate and the data sources are more stable.