Full
Outline
To analyze the evolution characteristics and influencing factors of total health expenditure structure in Qinghai Province from 2009 to 2021, and to provide reference for regional health policy optimization.
The data of total health expenditure and influencing factors of total health expenditure in Qinghai Province from 2009 to 2021 were selected. Based on the financing source method, the structural change degree analysis method was used to explore the dynamic changes of health financing structure, and the principal component regression model was used to identify the key influencing factors.
From 2009 to 2021, the average annual growth rate of total health expenditure in Qinghai Province was 13.86%, the proportion of government health expenditure increased from 39.81% to 49.21%, the proportion of personal expenditure decreased from 30.04% to 22.09%, the overall structural change degree was 18.79%, and the financing balance was significantly improved. Principal component regression showed that population size (β=0.114), economic development (β=0.114), medical resource supply (β=0.113) and urbanization rate (β=0.112) were the main positive driving factors, while the proportion of personal expenditure (β=-0.091) was significantly inhibited.
The scale of health financing in Qinghai Province continues to expand, and the burden of residents is gradually reduced. However, it is necessary to optimize the structure of government investment, improve the efficiency of resource utilization, and optimize the structure of medical insurance payment.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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