关键词: 卫生经费支出, 基层医疗卫生机构, 经常性卫生费用

Abstract: Objective　To investigate the financing and components of recurrent health expenses in primary healthcare institutions in Beijing，providing evidence for the formulation of relevant health policies.Methods　This study was conducted between July 2016 and June 2017.The data concerning Beijing health expenses in 2015 were derived from China Statistical Yearbook 2016，Beijing Statistical Yearbook 2016，Beijing Municipal Government Healthcare Subsidies Monitoring System，Beijing Public Health Information Center，2015 Beijing Healthcare Expenditure Report and so on.The sharing coefficient was calculated based on the data of the individual cases from Beijing Healthcare Price Monitoring Platform and sample survey results of Beijing's medical institutions.Using the System of Health Accounts（SHA） 2011，the basic status，financing schemes and components（including recurrent health expenses of treatment and preventive services） of 2015 total recurrent health expenses for Beijing's primary healthcare institutions were analyzed.Results　The recurrent health expenses for Beijing's primary healthcare institutions in 2015 was 13.811 billion yuan.The inputs were mainly from medical insurance reimbursement programs and Beijing municipal government subsidies（accounting for 56.14% and 27.20% respectively）.The healthcare expenses of treatment and preventive services accounted for 86.96%，13.04% of the total healthcare expenses of 2015.In terms of treatment，the healthcare subsidies were mainly spent on chronic non-communicable diseases（accounting for 70.90%） if analyzed based on the GBD classification，circulation system disease（accounting for 25.88%） if analyzed in accordance with the ICD-10 standards，and patients of 50-69 years old if analyzed according to the age group.When it comes to the preventive services，the healthcare subsidies were mainly spent on the implementation of state-sponsored immunization programs，chronic disease prevention and control，elderly health management，resident's health record management，accounting for 24.86%，13.33%，10.37%，10.05%，respectively.Conclusion　The healthcare inputs for primary healthcare institutions in Beijing are mainly from public funding.Our study results indicates that the recurrent health expenses in these institutions is consistent with the role in delivering medical care and with the key actor in offering preventive services.

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