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现状与分析 (一)卫生资源投入评价 1.卫生资源投入水平相对较高。“七五”期间卫生总费用占GNP比例由1986年的3.32％增长到1990年的4.74％,年均递增0.36％,人均卫生总费用由1986年的96.19元增长至1990年的148.46元,年均递增11.46％,与全国同类中等城市相比均处较高水平。但在费用构成上,1990年健康保险及保偿占卫生总费用的82.52％,劳保医疗费用又占健康保险及保偿的91.55%,反映居民的被动投入多于政府的主动投入。由于沙市郊区人口仅占15％,在计算人均享有卫生资源时难以与拥有80％以上农村人口的其它城市进行比较。
Status and Analysis (I) Evaluation of Health Resources Input 1. The level of health resources investment is relatively high. During the 7th Five-Year Plan period, the total health expenditure as a percentage of GNP increased from 3.32% in 1986 to 4.74% in 1990, with an average annual increase of 0.36%. The per capita total health expenditure increased from 96.19 yuan in 1986 to 148.46 yuan in 1990. The average increase is 11.46%, which is at a relatively high level compared with other medium-sized cities in the country. However, in terms of cost structure, health insurance and insurance in 1990 accounted for 82.52% of the total health expenditure, and medical insurance costs accounted for 91.55% of health insurance and reimbursement, reflecting the residents’ passive investment more than the government’s active investment. Since the population of the suburbs of Shashi only accounts for 15%, it is difficult to compare with other cities with more than 80% of the rural population when calculating the per capita health resources.