中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (10): 845-848.DOI: 10.3760/cma.j.cn115259-20200402-00477

• 国外医学教育 • 上一篇    

1980年至2017年美国医学院校收入与美国卫生支出的关系与启示

陆远梅1, 李文卓2, 吴红斌3, 王维民4   

  1. 1北京大学教育学院2019级硕士研究生 100871;
    2北京大学公共卫生学院卫生政策与管理学系 100191;
    3北京大学医学教育研究所 全国医学教育发展中心 100191;
    4北京大学医学部 全国医学教育发展中心 100191
  • 收稿日期:2020-04-02 出版日期:2020-10-01 发布日期:2020-12-08
  • 通讯作者: 吴红斌, Email: wuhongbin@pku.edu.cn, 电话: 010-82805597

The relationship between medical school revenues and national health expenditures from 1980 to 2017 in the United States and the enlightenment

Lu Yuanmei1, Li Wenzhuo2, Wu Hongbin3, Wang Weimin4   

  1. 1Graduate, Enrolled in 2019, School of Education,Peking University, Beijing 100871, China;
    2Department of Health Policy and Management, School of Public Health, Peking University, Beijing 100191, China;
    3Institute of Medical Education, Peking University & National Center for Health Professions Education Development, Beijing 100191, China;
    4Peking University Health Science Center & National Center of Health Professions Education Development, Beijing 100191, China
  • Received:2020-04-02 Online:2020-10-01 Published:2020-12-08
  • Contact: Wu Hongbin, Email: wuhongbin@pku.edu.cn, Tel: 0086-10-82805597

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摘要： 目的 分析美国医学院校收入及结构与卫生支出的关系,为我国建立稳定的医学教育经费投入保障机制提供依据。方法 采用美国医学院校协会(Association of American Medical Colleges,AAMC)官方网站公布的1980年至2017年的美国医学院校收入数据,与美国医疗保险与医疗补助中心(Centers for Medicare and Medicaid Services,CMS)发布的1980年至2017年的美国卫生支出数据,分析美国医学院校收入和美国卫生支出近40年的变化趋势,并分析两者及其内部结构之间的关系。结果 美国卫生总支出每年约3万亿美元,美国医学院校总收入每年约1 000亿美元;1980至2017年美国医学院校收入中医疗服务收入与美国个人卫生保健支出的比值均值为2.2%(40.49/1 879.93);医学院校的联邦政府科研经费收入与卫生投资支出的比值均值为11.1%(13.6/122.43);美国医学院校总收入与美国卫生总支出的比值均值为3.4%(74.94/2 227.68)。结论 借鉴美国经验,我国政府可以拓宽我国医学教育经费筹措渠道,适当扩大我国卫生总支出中科研经费的投入,可考虑结合国家卫生总支出构建医学教育经费保障机制。

关键词: 医学教育, 美国医学院校收入, 美国卫生支出, 科研经费, 医疗服务收入

Abstract: Objective To analyze the quantitative relationship between the medical school revenues and health expenditures,including the internal structures of them,and provide evidence to establish a stable guarantee mechanism for medical education funding in China. Methods Based on the data of all accredited American medical schools released by the Association of American Medical Colleges(AAMC),and the health expenditure data released with the Centers for Medicare and Medicaid Services(CMS) from 1980 to 2017,this study has analyzed the changes and relationship in the revenue structure of the U.S. medical schools and the health expenditure structure in the past nearly 40 years. Results Compared with the total annual health expenditure of US $ 3 trillion,the annual revenue of medical schools in the United States is about 100 billion US dollars.From 1980 to 2017 in medical schools in the United States,the average ratio of medical service revenue to personal health care expenditure was 2.2%(40.49/1879.93);the average ratio of federal scientific research funding income and health investment expenditure was 11.1%(13.6/122.43);the average ratio of total school revenues to total health expenditure is 3.4%(74.94/2 227.68). Conclusions Drawing on the experience of the United States,the government can broaden the funding channels for medical education and expand research funding in China's total health expenditure.Therefore we can establish a stable guarantee mechanism for medical education funding in China.

Key words: Medical education, American medical school revenues, Health expenditure of United States, Research funding, Medical service revenue

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