吉林省心脑血管疾病费用核算结果与分析

发布时间：2018-03-01 06:20

本文关键词： 心脑血管疾病疾病费用核算吉林　出处：《中国卫生经济》2017年03期 　论文类型：期刊论文

【摘要】：目的:基于国际最新的卫生费用核算体系2011版(SHA 2011)核算吉林省心脑血管疾病费用。方法:基于SHA2011,从筹资方案、机构流向和服务功能维度核算吉林省心脑血管疾病费用。结果:吉林省心脑血管疾病费用为71.10亿元,占经常性卫生费用的比重为11.26%,占卫生总费用的比重为9.20%,占慢性病经常性卫生费用的比重22.20%;28.53%的心脑血管疾病费用由政府方案筹资,家庭卫生支出的占比偏高,为41.25%;心脑血管疾病费用主要流向医院,基层医疗卫生机构占比较低;心脑血管疾病治疗费用主要集中分布在40~85岁这一人群,其中老年人群占比极高,为70.45%。结论:吉林省心脑血管疾病费用占比高,卫生资源消耗大,同时筹资中家庭个人负担较重,应进一步完善医疗保障政策,切实降低个人疾病负担。吉林省心脑血管疾病费用向医院集中,基层医疗卫生机构比重过低。同时,心脑血管疾病的预防服务费用占比较低,需要合理分配心脑血管疾病费用,使其机构流向和功能分布趋于合理。
[Abstract]:Objective: to calculate the cost of cardiovascular and cerebrovascular diseases in Jilin province based on the latest international system of health cost accounting 2011 (SHA2011). Results: the cost of cardiovascular and cerebrovascular diseases in Jilin Province was 7.11 billion yuan. The proportion of the recurrent health expenditure is 11.26%, the proportion of the total health expenditure is 9.20%, the proportion of the recurrent health expenditure of chronic diseases is 22.20% and 28.53% of the cost of cardiovascular and cerebrovascular diseases is financed by the government program, and the proportion of the household health expenditure is on the high side. The cost of cardiovascular and cerebrovascular diseases mainly flows to hospitals, and the primary medical and health institutions account for relatively low. The cost of treatment of cardiovascular and cerebrovascular diseases is mainly distributed in the population of 400-85 years old, among which the elderly account for a very high proportion. Conclusion: the cost of cardiovascular and cerebrovascular diseases in Jilin Province is high, the consumption of health resources is large, and the family has a heavy burden in raising funds, so the medical security policy should be further improved. The cost of cardiovascular and cerebrovascular diseases in Jilin Province is concentrated in hospitals, and the proportion of primary medical and health institutions is too low. At the same time, the cost of prevention services for cardiovascular and cerebrovascular diseases is relatively low, so it is necessary to allocate the cost of cardiovascular and cerebrovascular diseases reasonably. The flow direction and function distribution of the mechanism tend to be reasonable.
【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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