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2021-30 年全国卫生支出预测:随着新冠疫情影响减弱,增长将趋于缓和。

National Health Expenditure Projections, 2021-30: Growth To Moderate As COVID-19 Impacts Wane.

机构信息

John A. Poisal (

Andrea M. Sisko, CMS.

出版信息

Health Aff (Millwood). 2022 Apr;41(4):474-486. doi: 10.1377/hlthaff.2022.00113. Epub 2022 Mar 28.

DOI:10.1377/hlthaff.2022.00113
PMID:35344446
Abstract

Although considerable uncertainty remains, the COVID-19 pandemic and public health emergency are expected to continue to influence the near-term outlook for national health spending and enrollment. National health spending growth is expected to have decelerated from 9.7 percent in 2020 to 4.2 percent in 2021 as federal supplemental funding was expected to decline substantially relative to 2020. Through 2024 health care use is expected to normalize after the declines observed in 2020, health insurance enrollments are assumed to evolve toward their prepandemic distributions, and the remaining federal supplemental funding is expected to wane. Economic growth is expected to outpace health spending growth for much of this period, leading the projected health share of gross domestic product (GDP) to decline from 19.7 percent in 2020 to just over 18 percent over the course of 2022-24. For 2025-30, factors that typically drive changes in health spending and enrollment, such as economic, demographic, and health-specific factors, are again expected to primarily influence trends in the health sector. By 2030 the health spending share of GDP is projected to reach 19.6 percent.

摘要

尽管存在相当大的不确定性,但预计 COVID-19 大流行和公共卫生紧急情况将继续影响国家卫生支出和参保人数的短期前景。预计 2021 年的国家卫生支出增长率将从 2020 年的 9.7%降至 4.2%,因为与 2020 年相比,联邦补充资金预计将大幅下降。到 2024 年,在 2020 年下降之后,医疗保健的使用预计将恢复正常,医疗保险参保人数预计将朝着大流行前的分布方向发展,而剩余的联邦补充资金预计将逐渐减少。在这期间的大部分时间里,经济增长预计将超过卫生支出增长,导致卫生支出占国内生产总值(GDP)的预计比例从 2020 年的 19.7%下降到 2022-2024 年的略高于 18%。对于 2025-2030 年,通常推动卫生支出和参保人数变化的因素,如经济、人口和卫生特定因素,预计将再次主要影响卫生部门的趋势。到 2030 年,卫生支出占 GDP 的比例预计将达到 19.6%。

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