吉林省心脑血管疾病卫生筹资分析

发布时间：2018-04-23 19:12

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

【摘要】：目的:基于吉林省心脑血管疾病卫生费用结果分析吉林省心脑血管疾病卫生费用的筹资现状和存在的主要问题。方法:以卫生费用核算体系2011版(SHA 2011)为基础,从筹资方案、机构流向和服务功能维度对吉林省心脑血管疾病卫生费用进行核算。结果:心脑血管疾病消耗了大量卫生资源,费用总额达71.10亿元。心脑血管疾病费用中公共筹资方案占比最高,为52.21%,其中政府方案占比为28.53%;家庭个人负担较重,为41.25%。不同服务功能、人群和疾病费用的筹资差异很大;门诊服务的家庭个人负担比重高于住院服务;预防服务筹资主要来自于政府方案,占比超过了90%;不同疾病的筹资负担中,原发性高血压、肺源性心脏病和脑梗塞的家庭个人负担较重,家庭个人卫生支出占比在50%以上。结论:现有的医疗保障政策和制度中,缺乏对心脑血管疾病保障方面的有效设计,地方政府应积极承担筹资责任,并确保筹资的充足、稳定和可持续发展,重点加强对耗用卫生资源大和家庭个人负担重的心脑血管疾病的防控。
[Abstract]:Objective: based on the results of health expenditure of cardio-cerebrovascular diseases in Jilin Province, the present situation and main problems of health expenditure on cardiovascular and cerebrovascular diseases in Jilin Province were analyzed. Methods: based on the health cost accounting system 2011 (SHA2011), the health expenses of cardiovascular and cerebrovascular diseases in Jilin Province were calculated from the aspects of financing scheme, institutional direction and service function. Results: cardiovascular and cerebrovascular diseases consumed a large number of health resources, the total cost was 7.11 billion yuan. In the cost of cardiovascular and cerebrovascular diseases, the proportion of public financing scheme is the highest, 52.21, among which the proportion of government scheme is 28.53, and the burden of individual family is 41.25%. For different service functions, the financing of population and disease costs varies greatly; the proportion of household personal burden in outpatient services is higher than that of in-patient services; the financing of preventive services mainly comes from government programmes, accounting for more than 90 percent; and among the financing burdens of different diseases, Families with essential hypertension, pulmonary heart disease and cerebral infarction had a heavy personal burden, and the proportion of household hygiene expenditure was more than 50%. Conclusion: in the current medical security policies and systems, there is a lack of effective design for cardiovascular and cerebrovascular disease protection, and local governments should actively assume the responsibility of financing and ensure the adequate, stable and sustainable development of financing. Emphasis should be placed on the prevention and control of cardiovascular and cerebrovascular diseases, which consume a great deal of health resources and are heavy on families.
【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

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