Analysis on the Trends of Regional Differences in Total Health Expenditure in China in the New Era
- VernacularTitle:新时代我国卫生总费用地区差异变动趋势分析
- Author:
Feng GUO
1
;
Yuchen ZHOU
;
Peipei CHAI
Author Information
1. 国家卫生健康委卫生发展研究中心 北京 100044
- Keywords:
new era;
health expenditure;
health financing;
regional disparity
- From:
Chinese Health Economics
2024;43(6):54-58,74
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on the accounting results of total health expenditure in different regions since the 18th National Congress of the Communist Party of China,to analyze the regional disparity and evolution trend of health financing level and financing structure in 2012-2022,so as to provide references for subsequent adjustment and improvement.Methods:Range,standard deviation and coefficient of variation were used to analyze the degree of absolute and relative differences of total regional health expenditure in China and the changing characteristics of regional total health expenditure differences since the New Era(2012-2022).Results:Since 2012,the total health expenditure in various regions has been increasing continuously,and the average annual growth rate of total health expenditure is higher than that of the economy in this region.The relative difference of the proportion of total health expenditure to GDP in 31 provinces has converged in the fluctuation,but the absolute difference is still very large;the relative gap and absolute gap of per capita total health expenditure are expanding;the absolute difference in the proportion of out-of-pocket payments to total health expenditure has narrowed,while the relative difference has gradually narrowed.Conclusion:There are obvious differences in the growth rate of total health expenditure in different regions,so it is suggested that"appropriate growth"and"accurate control of health expenditure"should be carried out in parallel;the regional disparity of health investment in China has not improved,especially the regional disparity of per capita investment level continues to increase,so narrowing the regional disparity is a long-term task.The gap of regional financing structure has converged,but the gap is still large.
