中国政府卫生支出影响因素研究及对策建议
Research on Factors Influencing Government Health Expenditure in China and Suggestions for Countermeasures

中国的卫生医疗体制在不断的改革完善，通过2010年~2019的中国政府卫生支出数据，对个人卫生支出、GDP、人均GDP、老年人口占比、少年人口占比、教育年终决算以及城镇化率等变量进行回归分析。结果发现，个人卫生支出，人口老龄化及城镇化率等因素对政府财政卫生支出的影响较大。因此政府财政投入方向需要进一步由“以治病为中心”向“以人民健康为中心”转变，建立以健康结果指标为导向的政府卫生投入体系和与社会经济发展相适应的筹资增长机制，确保政府卫生投入在中央和地方财政预算安排中的优先地位，有效解决卫生健康事业发展不平衡不充分的问题，为深化医改和推进健康中国建设提供强有力的支撑。
China’s health care system is constantly reforming and improving, and the Chinese government health expenditure data from 2010~2019 were used to conduct regression analysis on the variables of personal health expenditure, GDP per capita, the proportion of elderly population, the proportion of juvenile population, the year-end accounts of education, and the urbanization rate. The results found that factors such as personal health expenditure, population aging and urbanization rate have a greater impact on government financial health expenditure. Therefore, the direction of government financial investment needs to be further changed from “disease treatment as the center” to “people’s health as the center”, to establish a government health investment system oriented by health outcome indicators and a funding growth mechanism in line with socio-economic development, and to ensure that government health investment is more than the amount of the central and local budgets. It is necessary to establish a government health investment system oriented to health outcomes and a funding growth mechanism that is in line with socio-economic development, to ensure that government health investment takes priority in the central and local budgetary arrangements, to effectively solve the problem of unbalanced and insufficient development of health care, and to provide strong support for deepening medical reform and promoting the construction of a healthy China.