新疆生产建设兵团慢性非传染性疾病预防服务项目费用核算研究

发布时间：2018-08-11 11:34

【摘要】：目的:核算2011年新疆生产建设兵团慢性非传染性疾病预防服务费用。方法:以卫生费用核算体系SHA 2011为基础。从服务功能、筹资来源、机构流向维度核算新疆生产建设兵团慢性非传染性疾病预防服务费用。结果:2011年新疆生产建设兵团慢性非传染性疾病预防服务费用为4 828.51万元,是当年新疆生产建设兵团公共卫生总费用的38.93%。从筹资来源看,中央政府为筹资主体,占97.60%。从服务提供机构的角度分析,主要流向基层医疗卫生机构,占87.25%。从服务功能分析,主要用于流行病学监测和疾病风险控制项目,占新疆生产建设兵团慢性非传染性疾病预防服务费用的36.53%。就具体的服务项目而言,集中在慢性非传染性疾病患者管理和65岁以上老年人健康管理。结论:2011年新疆生产建设兵团慢性非传染性疾病预防服务费用主要来自中央政府,筹资来源较狭窄。基层医疗卫生机构是新疆生产建设兵团慢性非传染性疾病预防服务的提供主体,但基层人才队伍薄弱。
[Abstract]:Objective: to calculate the cost of prevention services for chronic non-communicable diseases in Xinjiang production and Construction Corps in 2011. Methods: based on SHA 2011. From the perspective of service function, funding source and organization flow, the cost of chronic non-communicable disease prevention services in Xinjiang production and Construction Corps was calculated. Results: in 2011, the cost of prevention services for chronic non-communicable diseases in Xinjiang production and Construction Corps was 48.2851 million yuan, which was 38.933% of the total public health expenditure of Xinjiang production and Construction Corps in that year. From the source of funding, the central government for the main funding, 97.60 million. From the point of view of service providers, it mainly flows to primary health care institutions, accounting for 87.25%. The analysis of service function is mainly used in epidemiological surveillance and disease risk control project, which accounts for 36.53% of the cost of prevention services for chronic non-communicable diseases in Xinjiang production and Construction Corps. In terms of specific services, it focuses on the management of patients with chronic non-communicable diseases and the health management of the elderly over 65 years of age. Conclusion: in 2011, the cost of chronic NCD prevention services in Xinjiang production and Construction Corps mainly came from the central government, and the funding sources were narrow. Primary medical and health institutions are the main providers of chronic non-communicable disease prevention services in Xinjiang production and Construction Corps, but the ranks of grass-roots talents are weak.
【作者单位】：石河子大学医学院;国家卫生计生委卫生发展研究中心;新疆伊犁州友谊医院;
【基金】：国家自然科学基金项目(71363047) 兵团科技攻关计划项目(2012BA044)
【分类号】：R82

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