Analysis on the Results and Characteristics of Total Health Expenditure in Shanghai in 2015

doi:10.7664/CHE20170805

Abstract：To estimate the health accounts of Shanghai in 2015,summarize the characteristics of the collection,allocation and use of the health expenditure,and provide references for the health system development of Shanghai.Methods:Based on the framework of China National Health Accounts System(2003),health accounts of Shanghai by financing source and health providers were calculated and analyzed.Results:In terms of the total volume of health financing,the total health expenditure(THE) (by source)in Shanghai in 2015 was 153.66 billion yuan,accounting for 6.1％ of GDP,while the total health expenditure per capita was 6 362.0 yuan.In terms of the financing structure,the health financing in Shanghai was mainly from social health expenditure(accounting for 57.4％ of the THE).Government health expenditure and out-of-pocket(OOP) expenditure accounted for 20.8％ and 21.8％ of THE in Shanghai respectively,In terms of the institutional allocation,THE(by organization) in Shanghai over the same period was 172.25 billion yuan,of which the medical institutions accounted for up to 85.2％.Conclusion:Overall,THE in Shanghai increased substantially in 2015.The proportion of THE exceeded 6％ for the first time.In the current economic situation,it was suggested to promote the integrated health system reform and control the rise of medical expenditure within a reasonable range,while encouraging the development of commercial insurance to ensure the sustainable development of the health financing of Shanghai.