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首页> 外文期刊>International journal for equity in health >How to improve the equity of health financial sources? - Simulation and analysis of total health expenditure of one Chinese province on system dynamics
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How to improve the equity of health financial sources? - Simulation and analysis of total health expenditure of one Chinese province on system dynamics

机译：如何提高卫生资金来源的公平性？ -基于系统动力学的中国一个省卫生总支出的仿真与分析

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Introduction We simulate and analyze Total Health Expenditure (THE) in financial sources and other economic indicators (such as THE per capita, GDP, etc.) in a province of China from 2002 to 2012 on System Dynamics. Methods Based on actual data and certain mathematical methods, we use system dynamic software to construct a logic model for THE and changing proportions, and thus simulate the actual conditions of development and changes in THE. Results According to the simulation results, the government possess the largest investment in the average annual growth rate of THE, which was 25.16 % in 2012. Social investment comprises the majority of the possession ratio, which was up to 41.20 %. Conclusions The personal investment growth rate decreased by almost 21 %, but the total amount of personal investment increased by 28075 million yuan, which is far higher than the increase in government investment. Individuals are still the main carriers of health care expenses. The equity of health financial sources is still poor. The System Dynamics method used in this paper identifies a dynamic measurement process, provides a scientific basis for simulation and analysis of the changes in THE and its key constraining factors, as well as put forward suggestions for the improvement of equity of health financial sources.
机译：简介我们使用System Dynamics对2002年至2012年中国某省的财务来源和其他经济指标（例如人均，GDP等）中的医疗总支出进行了模拟和分析。方法基于实际数据和某些数学方法，我们使用系统动态软件构建THE和变化比例的逻辑模型，从而模拟THE发生和变化的实际条件。结果根据模拟结果，在THE的年均增长率中，政府拥有最大的投资，2012年为25.16％。社会投资占所有投资比例的大部分，最高达到41.20％。结论个人投资增速下降了近21％，但个人投资总额增加了280.75亿元，远高于政府投资的增幅。个人仍然是卫生保健费用的主要载体。卫生资金来源的公平性仍然很差。本文采用的系统动力学方法确定了动态的度量过程，为模拟和分析THE的变化及其主要制约因素提供了科学依据，并提出了改善卫生资金来源公平性的建议。

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