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目的:了解上海市卫生筹资总额和结构情况。方法:描述性分析和时间序列分析。结果:2001—2010年,上海市对卫生事业投入适度增长,筹资结构逐步得到优化。随着社会保险覆盖面的增加,卫生筹资的风险降低,居民医疗卫生服务利用率增加;但与社会经济发展水平相当的地区相比卫生总费用还处于相对较低水平,投入结构还不尽合理。结论:加大对城镇居民基本医疗保险、农村合作医疗等政府补贴型保险和公共卫生等方面的投入,进一步转变投入方式,通过经济杠杆加大对需方的引导和医疗服务提供方的约束力。
Objective: To understand the total amount and structure of health financing in Shanghai. Methods: Descriptive analysis and time series analysis. Results: From 2001 to 2010, Shanghai invested moderately in health promotion and its financing structure was gradually optimized. With the increase of social insurance coverage, the risk of health financing is reduced and the utilization rate of residents’ medical and health services is increased. However, the total health expenditure is still relatively low compared with the areas with similar socio-economic development, and the input structure is still not reasonable. Conclusion: The government should increase investment in government-subsidized insurance such as basic medical insurance for urban residents and rural cooperative medical care, and public health to further change the mode of investment and increase the guidance on the demand side and the binding of providers by means of economic levers .