International Comparison of the Medical Economic Burden among Populations Based on System of Health Accounts 2011
- VernacularTitle:基于"卫生费用核算体系2011"的人群就医负担国际比较
- Author:
Miao WANG
1
;
Peipei CHAI
Author Information
1. 山西中医药大学健康服务与管理学院 太原 030619
- Keywords:
the System of Health Account 2011(SHA2011);
medical economic burden;
health expenditure
- From:
Chinese Health Economics
2024;43(5):72-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on"the System of Health Account 2011",it aimed to analyze the differences and causes of the medical economic burden between domestic and foreign population,and provide reference for the medical economic risk protection policies in China.Methods:Data of recurrent health expenditure of China and OECD member states were collected and descriptive statistical analysis was used to explore the relationship between the population's economic burden of medical treatment and medical security system and health service system.Results:In 2020,the average proportion of personal health expenditure in household con-sumption expenditure in OECD member countries was 3%,and the proportion in China was 5.24%.In China,public financing ac-counted for 54.81%of recurrent health expenses,which was lower than the average of OECD member states.Personal health expendi-ture of OECD member states was mainly spent on medical supplies and outpatient services,and China's personal health expenditure was mainly spent on outpatient services and inpatient services.Conclusion:Difference of medical security system is the important factor of the uneven medical burden.An appropriate health service delivery system is the basis to reduce the medical economic bur-den,a perfect hierarchical medical service system can guide the demand for medical service,and the collaborative chain of"pre-vention-diagnosis-control-care-rehabilitation"is fundamental to alleviate the medical economic burden.