1.Comparative analysis of changes in provincial health expenditure since China health system re-form in 2009
Congcong WANG ; Quan WAN ; Yuhui ZHANG ; Peipei CHAI ; Feng GUO ; Qiang WEI ; Tiemin ZHAI ; Xiufeng WANG
Chinese Journal of Health Policy 2014;(6):22-27
Objective:To analyze the characteristics of health financing at the provincial level according to the total health expenditure since China health system reform began in 2009 and provide evidence for improving health fi-nancing policy. Methods:20 provinces were chosen and vertical and horizontal Comparative approach was used to an-alyze the data. Results:Total health expenditure increased for all regions, of which the biggest rate was Anhui prov-ince, about 82. 97%, while the largest increasing for government health care expenditure was Ningxia province, a-bout 108 . 71%. In 2012 , the provinces with social health expenditure share of total above 40% were allocated in the east region, and the number of provinces with out-of pocket payment share of total above 40% reduces to 5. Conclu-sion:Total health expenditure grew in all regions, but there were differences in the degree that this spending matched the economic level;The financing structure was optimized, but the characteristic of regional financing was different. Some provinces were under huge pressure to reduce out-of pocket payments. Suggestions: Under the premise of im-proving the funding level, financing structure adjustment must be focused, and public funding should play a bigger role and out-of pocket payments should be reduced.
2.The Connotation,Current Situation and Policy Direction of China's Government Health Investment from the Perspec-tive of National Governance
Yan LI ; Ling ZHANG ; Tiemin ZHAI
Chinese Health Economics 2023;42(12):9-12
Health finance is an important part of the public financial system.Based on literature review and field survey,it analyzes how to further understand the relationship between financial health input policy and national governance under the perspective of national governance,and explores the current situation of financial health input in China,the problems existing in the current input policy and the methods to improve it,so as to provide references for relevant departments to improve China's government health invest-ment policy.
3.Research on the Construction of Trigger Index System for Dynamic Adjustment of Medical Service Price in Tangshan
Feng GUO ; Tiemin ZHAI ; Quan WAN ; Zijing XU ; Xiangyu HAO ; Zhihui CAO
Chinese Health Economics 2023;42(12):45-48
Objective:To construct a set of weighted trigger index system for dynamic adjustment of medical service price,so as to provide references and basis for price adjustment of complex medical service projects in Tangshan.Methods:The Delphi expert consultation method was used to demonstrate and determine the index system,and the difference comparison method and product method were used to determine the weight coefficient for each index.Results:The trigger index system of dynamic adjustment of medical service price including 4 first-level indicators,10 second-level indicators and 29 third-level indicators,and the weight coefficient of each indicator was given.Conclusion:The trigger index system of dynamic adjustment of medical service price in Tangshan has high scientificity and reliability,which is helpful for Tangshan to establish a sensitive and moderate price dynamic adjustment mechanism.Considering the affordability of all parties in the price adjustment of medical services in Tangshan,it is conducive to strengthening the total price control and structural adjustment of medical services in Tangshan.