Trends in Health Expenditure and Projections: Analyzing Key Data from OECD and Other Sources
This document provides a comprehensive analysis of health expenditure trends, projections for future budgets, and relevant statistics from the OECD and associated studies. It highlights changes in health expenditure from 1990 to 2051, offering insights into various demographic segments and geographic regions. The text discusses various health indicators, investment trends, and implications for healthcare policy and planning. A critical examination of past data and future forecasts is included, making this a valuable resource for policymakers, researchers, and health economists.
Trends in Health Expenditure and Projections: Analyzing Key Data from OECD and Other Sources
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Presentation Transcript
ÝЯ¯Ë ÌÝÍÄÈÉÍ ¯ÍÄÝÑÍÈÉ ÒÎÎÖÎÎÍÛ ÕÝÐÝÃËÝÝ Òºñºâ õèéõ, áîäëîãî áîëîâñðóóëàõ, øèéäâýð ãàðãàõ àðãà õýðýãñýë áîëîõ íü Ñýäýâ 9
Ý̯Ò-ã áîäëîãî áîëîâñðóóëàõ áîëîí óäèðäëàãàä õýðýãëýõ íü • Ýð¿¿ë ìýíäèéí òîãòîëöîîíû ã¿éöýòãýëèéã ¿íýëýõ • ªºð÷ëºëò áîëîí õàíäëàãûã ¿íýëýõ àðãà õýðýãñýë • Ýð¿¿ë ìýíäèéí òóñëàìæèéí èðýýä¿éí çàðäëûã òºñºâëºõ • Òýãø áàéäëûã ¿íýëýõ àðãà õýðýãñýë • Ýð¿¿ë ìýíäèéí ñàëáàðûí òîãòîëöîîíû ¿íýëãýý
Ý̯Ò-ã áîäëîãî áîëîâñðóóëàõ áîëîí óäèðäëàãàä õýðýãëýõ íü Ýð¿¿ë ìýíäèéí ñàëáàðûí ã¿éöýòãýëèéã ¿íýëýõ
Ý̯Ò-íû áîäëîãûí íºëºº: Èõ ÁðèòàíèÅâðîïûí õîëáîîíû óëñóóäûí Ýð¿¿ë ìýíäèéí ñàëáàðûí çàðäàë ¯ÍÁ-íèé õóâèàð, 1998 Source: OECD Health Data 2001
Ý̯Ò-íû áîäëîãûí íºëºº:Èõ Áðèòàíè • ÝÇÕÀÕÁ-ûí ÝÌÒÒ-íû àíõíû ¿ð ä¿íãýýð äàðààõè çóðàã õàðàãäñàí: • ÝÌÍÇÄÍÁ-íèé 7.7%-òàé òýíö¿¿ áàéíà • ÝÇÕÀÕÁ áîëîí ÅÕ-íû áóñàä óëñóóäûíõààñ äîîãóóð áàéíà • Ýíý ìýäýýëëýý öààøäûí çàðäëûí øààðäëàãûã òîîöîîëîõîä àøèãëàñàí (Âàíëåññûí èëòãýë) • ªºð÷ëºëò øèíý÷ëýë õèéõ ñàíàà÷ëàãà: • Ý̯Ò-íä òàòâàðààñ çàðöóóëàõ õºðºíãèéã ÄÍÁ-íèé 1 õóâüòàé òýíöýõ õýìæýýãýýð íýìýõ • Ñòðàòåãèéí òºëºâëºëòèéí ¿éë àæèëëàãààíä àøèãëàõûí òóëä äóíä õóãàöààíû çàðäëûí òîîöîîã òîãòìîë õèéæ áàéõ
Ý̯Ò-ã áîäëîãî áîëîâñðóóëàõ áîëîí óäèðäëàãàä õýðýãëýõ íü ªºð÷ëºëò áîëîí õàíäëàãûã ¿íýëýõ àðãà õýðýãñýë
Ôèëèïïèí: Òºâëºðëèéã ñàðóóëñàí íü • Ý̯Ò-íèé ä¿ãíýëò¿¿ä: • 1990-ä îíîîñ òºâëºðëèéã ñààðóóëàõ áîäëîãî õýðýãæ¿¿ëæ ýõýëñíýýñ õîéø íèéãìèéí ñàëáàðûí íèéò çàðäàëä îðîí íóòãèéí çàñãèéí ãàçðûí ýçëýõ õóâü ýðñ ºññººð èðñýí • Áîäëîãûí íºëºº: • Òºâëºðëèéã ñààðóóëàõ áîäëîãûã ¿íýëýõäýý àìæèëòòàé õýðýãëýñýí áà ýð¿¿ë ìýíäèéí ñàëáàðûí íººöèéã õýìæèõýä õýðýãëýæ áàéãàà
Ôðàíö: Ýð¿¿ë ìýíäèéí äààòãàëûí çàðöóóëàëòûí òºñºâ çîõèîõÝð¿¿ë ìýíäèéí äààòãàëûí æèëèéí çàðäëûí òºñºâ áîëîí áîäèò çàðöóóëàëò ººð÷ëºãäñºí Source: Cours des comptes, 2000
Åâðîï: Ýìèéí çàðäëûí ºñºëò, 1970-1997 Source: OECD Health Data 2001
Ý̯Ò-ã áîäëîãî áîëîâñðóóëàõ áîëîí óäèðäëàãàä õýðýãëýõ íü Ýð¿¿ë ìýíäèéí òóñëàìæèéí èðýýä¿éí çàðäëûã òºñºâëºõ
Ý̯Ò-íû õýðýãëýý: Íàñààð òîîöñîí çàðäëûí òºñºâëºëòÊaíàä: Ìóæèéí çàñãèéí ãàçðûí íýã õ¿íýýð òîîöñîí çàðäàë, íàñ áà õ¿éñýýð, 1998 Source: National Health Expenditure Trends, 1975-2000 (Canadian Institute for Health Information, 2000)
Ý̯Ò-íû õýðýãëýý: Øðè Ëàíêà Ýð¿¿ë ìýíäèéí ñàëáàðûí çàðäëûí òîîöîî, 2001-2051 4% 0.7% 3% 0.3% 1.2% 0.1% 0.8% 0.4% 2% Çàðäàë ÄÍÁ-íèé õóâèàð 1.4% 1.7% 1.6% 1% 0.6% 0.5% 0.4% 0% 2001 2011 2021 2031 2041 2051 0-14 15-59 60-74 75+
Ý̯Ò-íû õýðýãëýý: Øðè Ëàíêà Source: Cost projections from MOH PHRD and Harvard NIA studies
Ý̯Ò-ã áîäëîãî áîëîâñðóóëàõ áîëîí óäèðäëàãàä õýðýãëýõ íü Òýãø áàéäëûã ¿íýëýõ àðãà õýðýãñýë
United States of América N Gulf of Mexico Health Expediture -dollars quintils- 59 to 80 (6) 81 to 122 (11) 123 to 184 (8) 185 to 313 (4) 314 to 535 (3) Pacific Ocean 0 250 500 Kilómeters Example: Mexico Ý̯Ò-íû õýðýãëýý: Á¿ñ íóòãóóäûí õàðüöàà Ýð¿¿ë ìýíäèéí ñàëáàðûí çàðäëûã á¿ñ¿¿äýýð õàðüöóóëñàí íü, Meêñèê, 1995
Ý̯Ò-íû áîäëîãûí íºëºº: Meêñèê • Ý̯Ò-íû ä¿ãíýëò¿¿ä • Ýð¿¿ë ìýíäèéí ñàëáàðûí çàðöóóëàëò Ìåêñèê äàÿà𠺺ð áàéãàà áà ÷èíýýëýã ìóæóóäàä ÿäóó ìóæààñ 6 äàõèí èõ ìºí㺠çàðöóóëæ áàéíà • Ñàíõ¿¿æèëòèéí îëîí ýõ ¿¿ñâýðòýé • Áîäëîãûí íºëºº • Ýð¿¿ë ìýíäèéí ñàëáàðò òºðººñ çàðöóóëàõ ñàíõ¿¿æèëòèéã íýìýãä¿¿ëñýí • Òºâëºðñºí òºñâèéí ñàíõ¿¿æèëòòèéã ìóæóóäàä õýðýãöýýíèéõ íü äàãóó õóâààðèëàõ ñèñòåì íýâòð¿¿ëñýí • Ìóæèéí ò¿âøèí äýõ Ý̯Ò-íû õàðèóöëàãà áîëîí óÿí õàòàí ÷àíàð ñàéæèðñàí
Ý̯Ò-íû áîäëîãûí íºëºº: ªìíºä Àôðèê • Ý̯Ò-íû àíõíû ä¿ãíýëò¿¿ä: • Íèéãìèéí ýð¿¿ë ìýíäèéí äóíäàæ çàðäàë ÷èíýýëýã ìóæóóäàä ÿäóó ìóæòàé õàðüöóóëàõàä 3.6 äàõèí èõ áàéñàí • Áîäëîãûí íºëºº: • Õýðýãöýýíèé ñåðòèôèêàòòàé áîë õóâèéí ýìíýëýã áàðèõ çºâøººðºë ºãäºã áîëñîí.õóâèéí ñàëáàðûã òºðººñ õÿíàõ àñóóäëûã ñàéæðóóëñàí, àíõàí øàòíû òóñëàìæèä íººöèéã õóâààðèëàõ áîëñîí
Ý̯Ò-íû õýðýãëýý Õîíãêîíã Ýð¿¿ë ìýíäèéí ñàëáàðûí ¿íýëãýýíèé æèøýý
Example: Hong Kong Õîíãêîíãûí ýð¿¿ë ìýíäèéí ñàëáàð • Çàñãèéí ãàçðûí îðîëöîî áàãàòàé îðëîãî ºíäºð ýäèéí çàñàãòàé áàéñàí • ÄÍÁ-íèé 18 õóâèàñ õýòðýõã¿é õóâèéã òàòâàðààð àâàõ ýðõòýé õÿçãààðëàëòàíä áàéñàí (Õóóëèéí äàãóó) • Òºðººñ ñàíõ¿¿æäýã óëñûí ýìíýëã¿¿ä áîëîí õóâèéí ñàëáàðûí ýìíýëã¿¿ä õàìòðàí îðøèæ áàéñàí • Õóâèéí ñàëáà𠺺ðèéí äóðààð õºãæèæ èðñýí
Example: Hong Kong Õîíãêîíãûí ýð¿¿ë ìýíäèéí ¿íäýñíèé òîîöîî • 1998 îíä Õîíãêîíãûí ýð¿¿ë ìýíäèéí ñàëáàðûí ¿íýëãýýíèé íýã õýñýã áîëñîí • Ý̯Ç: òºðèéí ñàíõ¿¿æèëòýýñ ãàäíà ãàäíû ýõ ¿¿ñýâýðýýñ 400 õîíãêîíã äîëëàð àâ÷ áàéñàí • ª÷¿¿õýí æèæèã ò¿âøíýýñ ýõëýýä 12 ñàðûí äîòîð ÝÇÕÀÕÁ-ûí ñòàíäàðòàä õ¿ðñýí
Example: Hong Kong ªºð÷ëºëò áà õàíäëàãûã ¿íýëýõ àðãà õýðýãñýë áîëîõ íü (1)
Example: Hong Kong ªºð÷ëºëò áà õàíäëàãûã ¿íýëýõ àðãà õýðýãñýë áîëîõ íü (2)
Example: Hong Kong Òºñºâëºëò õèéñýí ¿íäýñëýë (1)
Example: Hong Kong Òºñºâëºëò õèéñýí ¿íäýñëýë (2) Õîíãêîíãûí Ý̯Ò-íû íºëºº: • Ýð¿¿ë ìýíäèéí ñàëáàðò òºðººñ çàðöóóëàõ õºðºíãèéã ºñãºõ øààðäëàãà: • ÄÍÁ-íèé 2.5% áàéñíûã 3.4 - 4.0% õ¿ðòýë ºñãºõ • Çàñãèéí ãàçðûí çàðäëûí 14% áàéñíûã 20 - 23% õ¿ðòýë ºñãºõ • Òºðººñ çàðöóóëàõ ÄÍÁ-íèé õóâü òîãòìîë áàéâàë: • Íèéãìèéí ñàëáàðûí ñàíõ¿¿æèëòýíä õýðýãëýã÷äèéí òºëáºðèéí ýçëýõ õóâü 3%-ààñ 35% õ¿ðòýë ºñíº • Åðäèéí õ¿í àì íèéò çàðäëûí 50-70 õóâèéã òºëäºã áîëíî
Example: Hong Kong Ñàíõ¿¿æèëòèéí áîëîìæóóä: òýãø áàéäàë Òºðººñ ºãºõ òàòààñûí ýçëýõ õóâü, îðëîãûí ò¿âøíýýð 1994/95
Ý̯Ò-ã áîäëîãîä àøèãëàõ íü Áîäëîãîä ýíý ÿàæ íºëººëæ ÷àäàõ âý?
ÝÌ¯Ò áîäëîãûí øèéäâýðò ÿàæ íºëººëæ ÷àäàõ âý? • ÝÌ¯Ò íü äàðààõè ÷èãëýëýýð áîäëîãûí õýëýëö¿¿ëýã ºðí¿¿ëäýã • Àñóóäëûã òîäîðõîéëîõ • Õýëýëö¿¿ëýã ÿâóóëàõ ñóóðü, õºäºëãºã÷ õ¿÷ áîëîõ • ¯éë àæèëëàãàà ýõë¿¿ëýõ óõóóëãà ñóðòàë÷èëãààíû àðãà õýðýãñýë áîëîõ • Õýëýëö¿¿ëýã íü áîäëîãûí çàãâàð áîëîâñðóóëàõ, õýðýãæ¿¿ëýõ àðãà õýðýãñýë áîëäîã • Îíîëûí àñóóäëûã áîäèò àæèë áîëãîõ õýðýãòýé • Ý̯Ò-íû ¿ð ä¿íã õàíäëàãûí ñóäëàãàà õèéõýä àøèãëàõ áîëîìæòîé – õÿíàëò áà ¿íýëãýý õèéõýä • Õýðýãæ¿¿ëñýí ñòðàòåãè íü õ¿ññýí ¿ð ä¿íä õ¿ðñýí ýñýõèéã îëîí óëñûí õàðüöóóëàëò õèéõ çàìààð ìýäýæ áîëíî • ªíãºðñºí ¿åèéí ã¿éöýòãýëèéã ¿íýëýõ çàìààð áîäëîãûã èë¿¿ ¿ð ä¿íòýé áîëãîõ ºâºðìºö áîëîìæ • Èæèë òºñòýé áóñàä îðíóóäòàé õóðüöóóëàõ áîëîìæ îëãîíî