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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。
Objective: To calculate the cost of cardio-cerebrovascular diseases in Jilin Province based on the latest version 2011 of Health Expense Accounting System (SHA 2011). Methods: Based on SHA2011, the cost of cardiovascular and cerebrovascular diseases in Jilin Province was calculated from the financing plan, institutional flow and service functional dimension. Results: The cost of cardiovascular and cerebrovascular diseases in Jilin Province was 7.11 billion yuan, accounting for 11.26% of the total cost of regular health care, 9.20% of the total health expenditure, 22.20% of the total chronic health care cost, and 28.53% of the heart The cost of cerebrovascular diseases was raised by government programs, with a high proportion of family health expenditure accounting for 41.25%. The expenses of cardio-cerebrovascular diseases mainly went to the hospitals and the proportion of primary health care institutions was relatively low. The expenses for the treatment of cardiovascular and cerebrovascular diseases mainly concentrated on 40 ~ 85 years old this population, of which the elderly accounted for a high proportion of 70.45%. Conclusions: The proportion of cardiovascular and cerebrovascular diseases in Jilin Province is high, the consumption of health resources is heavy, and the personal burden of families in financing is heavier. The medical insurance policy should be further perfected to reduce the burden of individual diseases. Jilin Province, cardiovascular and cerebrovascular disease costs to the hospital concentration, the proportion of primary health care institutions is too low. At the same time, cardiovascular disease prevention service costs accounted for a relatively low proportion of the need to rationalize the distribution of cardiovascular and cerebrovascular diseases, institutional flows and functional distribution tend to be reasonable.