Abstract：Objective To analyze the total amount and structural changes of health financing and institutional flow, find out its changing rules and characteristics, and provide reference for the rational allocation of medical and health resources in Anhui Province. Methods Using the method of structural change degree, the changes of financing and flow direction of health expenditure in Anhui Province from 2006 to 2021 were analyzed from two aspects of total amount and structure. Results From 2006 to 2021, the total health expenditure in Anhui Province maintained an increasing trend. In the financing structure, the change value of government health expenditure and social health expenditure is positive, and the change value of personal cash health expenditure is negative. The structural change value of urban hospitals, health centers and public health institutions in the flow structure is negative, and the structural change value of county hospitals and community health centers is positive. Conclusion From 2006 to 2021, the scale of total health expenditure in Anhui Province showed an increasing trend, the financing structure was gradually optimized, and the personal medical burden was further reduced. The resource allocation of public health institutions and primary health care institutions is insufficient.
马荣菲, 宋天煜, 王淑敏, 汤质如. 基于结构变动度的卫生总费用结构变动与优化路径研究[J]. 湖南师范大学学报(医学版), 2023, 20(5): 139-144.
MA Rongfei, SONG Tianyu, WANG Shumin, TANG Zhiru. Research on Structural Changes and Optimization Paths of Total Health Costs Based on the Degree of Structural Changes. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(5): 139-144.
2023, Vol. 20 
