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目的:研究2009—2011海南省卫生总费用(THE)筹集水平与结构的现状及其发展变化趋势,评价海南省各项卫生经济政策的合理性与公平性,为政府有关部门制定和调整卫生经济政策提供参考依据。方法:采用来源法统计海南省2009—2011年卫生总费用。结果:2009、2010、2011年海南THE总额分别为94.69、113.25、163.30亿元;THE占GDP比重为5.72%、5.49%、6.47%;人均THE为1 095.98、1 303.24、1 862.06元;政府卫生支出占THE的比重为41.46%、35.40%,34.11%;社会卫生支出占THE的比重为27.22%、38.21%,39.70%;居民个人现金卫生支出占THE的比重为31.32%、26.38%,26.19%。结论:THE总额持续增长,绝对值低;人均THE由低于发展到超过全国平均水平;THE占GDP比重先降后升;政府卫生支出及居民个人现金卫生支出占THE的比重逐年下降;社会卫生支出占THE的比重逐年增长。
OBJECTIVE: To study the current situation and development trend of raising the level and structure of Hainan’s total health expenditure (THE) from 2009 to 2011, to evaluate the rationality and fairness of various health economic policies in Hainan Province and to formulate and adjust the health economy for relevant government departments Policy provides a reference. Methods: Source method was used to calculate the total health expenditure of Hainan Province from 2009 to 2011. Results: The total amounts of THE THE in Hainan in 2009, 2010 and 2011 were respectively 94.69, 113.2516330 billion yuan; THE accounted for 5.72%, 5.49% and 6.47% of the GDP; the average THE was 1 095.98,1 303.24 and 1 862.06 yuan respectively; government health The proportion of expenditures to THE was 41.46%, 35.40% and 34.11% respectively. The proportion of expenditures on social hygiene on THE was 27.22%, 38.21% and 39.70% respectively. The proportion of residents’ individual cash health expenditure to THE was 31.32%, 26.38% and 26.19% . Conclusion: The total value of THE continues to grow at a relatively low absolute value. The average per capita GDP is below the national average; the proportion of THE to GDP drops first and then increases; the share of government expenditure on health and residents’ cash in health accounts for a declining trend year by year; The proportion of expenditure to THE has been increasing year by year.