吉林省老年人心脑血管疾病治疗费用分析

发布时间：2018-06-09 13:53

本文选题：心脑血管疾病 + 治疗费用　；参考：《中国卫生经济》2017年03期

【摘要】：目的:本研究基于国际最新的卫生费用核算体系2011版(SHA 2011)核算2014年吉林省老年人心脑血管疾病治疗费用,并分析其筹资来源、费用流向等,为合理控制老年人心脑血管疾病费用负担提供科学依据。方法:基于SHA 2011框架核算2014年吉林省老年人心脑血管疾病费用总量、筹资方案、机构流向、人群费用分布等。结果:2014年吉林省老年人心脑血管疾病治疗费用为34.89亿元,占全人群心脑血管疾病费用的70.46%;费用最高的前五位疾病依次为其他类别的心脏病、动脉粥样硬化、脑梗死、出血性脑血管病和原发性高血压;80~84岁年龄组心脑血管疾病治疗费用占比最高,达到22.55%;家庭卫生支出占比为48.87%,略高于公共筹资占比;发生在医院的老年人心脑血管疾病治疗费用占86.64%;老年人心脑血管疾病治疗费用中男性高于女性。结论:吉林省老年人心脑血管疾病费用个人负担较重,费用机构流向不合理,仍需加强对老年人群心脑血管疾病的重点防控,进一步完善老年人医疗保障制度。
[Abstract]:Objective: to calculate the cost of cardiovascular and cerebrovascular diseases in Jilin province in 2014 based on the latest international health cost accounting system (SHA2011, 2011), and to analyze the source of financing and the direction of expenditure, etc. To provide a scientific basis for reasonable control of the burden of cardiovascular and cerebrovascular diseases in the elderly. Methods: based on the framework of SHA 2011, the total cost of cardiovascular and cerebrovascular diseases, the financing scheme, the direction of organization and the distribution of population cost were calculated in Jilin province in 2014. Results: the cost of treating cardiovascular and cerebrovascular diseases in the elderly in Jilin Province in 2014 was 3.489 billion yuan, accounting for 70.46% of the total cost of cardiovascular and cerebrovascular diseases, and the top five diseases of the highest expense were heart disease, atherosclerosis and cerebral infarction. The treatment cost of cardiovascular and cerebrovascular diseases was the highest (22.55) in the age group of 80 years old with hemorrhagic cerebrovascular disease and essential hypertension, and the proportion of family health expenditure was 48.87, which was slightly higher than that of public financing. The cost of treating cardiovascular and cerebrovascular diseases in the elderly was 86.64, and the cost of treating cardiovascular and cerebrovascular diseases in the elderly was higher in males than in females. Conclusion: the individual burden of cardiovascular and cerebrovascular diseases of the elderly in Jilin Province is heavy, and the flow of expenditure organizations is unreasonable. It is still necessary to strengthen the prevention and control of cardiovascular and cerebrovascular diseases among the elderly and to further improve the medical security system for the elderly.
【作者单位】：延边大学医学院;延边大学附属医院;国家卫生计生委卫生发展研究中心;
【分类号】：R54;R743;R197.3

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