How did the Beneficiary Groups of Curative Care Expenditure Distribute? Based on SHA 2011: A Case Study in Xinjiang Autonomous Region, China

Abstract Background System of Health Accounts 2011 (SHA2011) not only meets the analysis of health policies but also increases the comparability of international health from expenditure. This study analyzes the distribution of beneficiary groups of curative care expenditure (CCE) in Xinjiang based on SHA 2011, and provides references for making health policies. Methods A total of 352 sample health institutions were collected with multistage stratified random sampling method in Xinjiang. According to the accounting framework of the SHA 2011, the CCE distribution, institutional flow and disease distribution of different age groups were analyzed. Results In 2016, the CCE in Xinjiang was 50.05 billion Chinese Yuan (CNY), accounting for 70.18% of current health expenditure (CHE), 6.66% of GDP, and per capita CCE was 2366.56 CNY. People aged over 65 was the consumed major CCE, different diseases treatment costs have a different distribution in the age groups. Three types of diseases with the highest CCE were circulatory, respiratory and digestive system diseases. All of the beneficiary expenditure mainly occurred in hospitals, the proportion of primary health care institutions was relatively small. Family health expenditure accounts for a relatively high proportion, especially children aged 14 years old and below. Conclusion This study used SHA2011 to capture large data and analyzed from the newly added beneficiary dimension. The population had a heavy burden of medical financing, the allocation of medical resources was unreasonable, and the scale of primary medical institutions needs to be reasonably expanded. The financing plan for CCE needs to be optimized to decrease the medical burden of disease.