Estimates and Analysis of Regional Total Health Expenditure in China in 2023
- VernacularTitle:2023年我国地区卫生总费用核算结果与分析
- Author:
Jing FENG
1
;
Peipei CHAI
1
;
Yan LI
1
Author Information
1. 国家卫生健康委卫生发展研究中心 北京 100044
- Publication Type:Journal Article
- Keywords:
Total Health Expenditure;
health financing;
regional disparity
- From:
Chinese Health Economics
2025;44(2):7-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective:It aims to analyze regional disparity and evolution trend of health financing level and structure,providing a reference for subsequent adjustment and improvement of regional health financing policy.Methods:Based on the estimates of Total Health Expenditure(THE)by financing source,it examined the levels,structures,and trends of regional health financing.Results:In 2023,THE across regions continued to increase,but there are still significant disparities among regions,with the eastern region significantly higher than the central and western regions.Additionally,the structure of THE varied greatly by region,and the share of Out-of-Pocket payment(OOP)still accounted for a relatively high proportion in some regions.Conclusion:There are significant disparities in health investment across different regions in China,which may exacerbate health inequities.The differences in financing structures among regions are pronounced,and some areas face challenges in achieving the targets set out in the 14th Five-Year Plan regarding the proportion of OOP in THE.There is a need to optimize the health financing system,emphasizing inclusive development to ensure that health financing is adequate,effective,equitable,and sustainable.