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中国健康消费与公共卫生投入双检报告(2019)

书 名: 中国健康消费与公共卫生投入双检报告(2019)
英 文 名: ANNUAL EVALUATION REPORT ON THE HEALTH CONSUMPTION AND PUBLIC HEALTH EXPENDITURE OF CHINA (2019)
作 者:  王亚南杨正权陈勇强 方彧魏海燕
I S B N: 978-7-5201-4746-0
丛 书 名: 民生指数报告 订阅
关 键 词:  健康消费 公共卫生 需求指数 综合评价 中国
出版日期: 2019-05-01

中文摘要

2000~2017年,全国居民健康消费总量由2138.96亿元增至20450.57亿元,年均增长14.20%。健康消费增长高于产值年增0.99个百分点,高于居民收入年增1.21个百分点,高于总消费年增1.86个百分点,低于居民积蓄年增0.65个百分点。全国健康消费城乡比缩小41.66%,地区差缩小8.40%。依据历年动态推演预测,至2020年全国居民健康消费城乡比将明显缩减,地区差也将略微缩减;至2035年全国居民健康消费城乡比将继续极显著缩减,地区差将略微扩增。假定全国同步实现健康消费历年最小城乡比直至弥合城乡比,健康消费需求指数将更加明显提升。

从2000年以来基数值纵向检测可以看出,中部健康消费需求指数提升最高,西部次之,东北再次,东部稍低,表明区域均衡发展国家方略已见成效;湖北、贵州、安徽、广西、河南占据前5位。2017年无差距理想值横向检测发现,差距仍在于各方面协调性、均衡性还不够理想;湖北、黑龙江、湖南、天津、北京占据前5位。另有基数值纵向检测显示,2005年以来湖北、贵州、山西、甘肃、河南占据前5位;2010年以来湖北、甘肃、青海、海南、四川占据前5位;2016年以来湖南、广西、北京、湖北、天津占据前5位。

同期,全国卫生投入总量由494.26亿元增至14450.63亿元,年均增长21.96%。卫生投入增速显著高于产值增速,也明显高于财政收入、财政支出增速;同时明显高于教育投入增速,但较明显低于科技投入增速,而显著高于文化投入增速。全国卫生投入人均值地区差缩小24.70%。以消解发展不平衡不充分为最终目标,测算2020年公共卫生投入预期增长目标:按实现全国各地最小地区差测算,全国总量应达到25980.38亿元,人均值应达到1843.33元;按实现人均值地区均等测算,全国总量应达到40939.22亿元,人均值统一取北京值为2904.67元。

各省域卫生投入增长综合评价排行:无差距理想值横向测评,西藏、青海、云南、甘肃、广西为“2017年度卫生投入指数排名”前5位;自身基数值纵向测评,安徽、河南、陕西、湖南、重庆为“2000~2017年卫生投入指数提升”前5位;安徽、湖南、重庆、江西、河南为“2005~2017年卫生投入指数提升”前5位;广东、重庆、安徽、福建、海南为“2010~2017年卫生投入指数提升”前5位;安徽、内蒙古、青海、天津、海南为“2016~2017年卫生投入指数提升”前5位。

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