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To analyze the financing and utilization of preventive service costs in Guizhou Province from 2016 to 2022, providing reference for improving the resilience and sustainability of preventive funding structures and optimizing the functional structure of preventive services.
Based on the System of Health Accounts 2011 (SHA2011), this study analyzes the preventive service costs in Guizhou Province from the dimensions of total preventive service costs, financing schemes, service functions, and institutional flows.
The preventive service costs in Guizhou Province were 3.72 billion yuan in 2016, increasing to 10.056 billion yuan by 2022, with the proportion of these costs in recurrent health expenditures rising from 5.07% to 8.49%. In 2020, the proportion of expenditures on infectious disease prevention and control increased to 14.71%,while the shares for chronic disease management, child health services, and maternal health care decreased. Over the seven years, government programs and household health expenditures declined, while corporate financing significantly increased. The proportion of preventive service costs attributed to hospitals and grassroots medical institutions rose annually from 48.59% to 67.29%.
From 2016 to 2022, the preventive service costs and their share of recurrent health expenditures in Guizhou Province increased; however, the phenomenon of “less attention on prevention and much attention on treatment” remains evident. Hospitals, grassroots medical institutions, and public health agencies are the primary providers of various preventive services, reflecting a trend of “medical care supporting prevention”. The proportion of personal cash expenditures in preventive service costs gradually decreased, but government and social health funding remains insufficient, and the financing structure is vulnerable to short-term and long-term external factors.
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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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