Results and Analysis of National Health Accounts in China in 2015

doi:10.7664/CHE20170403

Abstract：Objective:To estimate total health expenditure(THE) in China in 2015,analyze the main achievements in health financ ing made in "12th Five-Year Planning" period,summarize the main issues and challenges in health financing,and propose suggestions for health financing policy making and adjustment.Methods:Health expenditure accounting methods by financing source and by health provider were applied,and index analysis method based on time series data was used to examine the changing trend of health expenditure in China.Results:THE of China was 4 097.46 billion yuan in 2015,which accounted 5.98％ of GDP.Household out-of-pocket (OOP) decreased to 29.27％,which met the goal set in "12th Five-Year" Healthcare Reform Planning.The share of government health expenditure increased to 30.45％,while the social health expenditure increased to 40.29％.During the period of "12th Five-Year" planning,the annual growth rate of THE was 12.50％.Conclusion:During "12th Five-Year" Planning,health expenditure remained a faster rising,and the structure of financing sources optimized obviously.Driven by the increasing government health financing and social health financing,the share of OOP in THE decreased greatly.However,in future it would need to maintain government health expenditure and enhance the social financing level,so as to improve sense of gain for population.