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基于“SHA 2011”的安徽省慢性非传染性疾病治疗费用分析

Study on the Curative Care Expenditure of Non-communicable Chronic Diseases in Anhui Based on SHA 2011
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摘要 目的:研究安徽省慢性非传染性疾病治疗资金筹资、分配和使用情况,为今后相关卫生政策的调整和制定提供参考。方法:基于'卫生费用核算体系2011'(SHA 2011)的理论与方法,对安徽省慢性病治疗费用进行核算与分析。结果:2016年安徽省慢性病治疗费用为536.40亿元,占全省治疗费用的62.68%。其主要来源于公共筹资(66.55%)和家庭卫生支出(27.85%);主要发生在医院(84.51%),仅11.83%发生在基层医疗机构;主要分布在40~84岁年龄组,医疗资源消耗居于前位主要是循环系统疾病、肿瘤及消化系统疾病。结论:筹资结构较合理,医疗机构配置呈'倒三角',建议合理优化筹资结构,提升基层医疗服务能力,关注重点年龄组和疾病别人群并开展预防工作。 Objective: To study the financing, distribution and use of funds for curative care of non-communicable chronic diseases(NCDs) in Anhui, and provide references for the adjustment and formulation of relevant health policies in the future. Methods:Based on the theory and method of the 'System of Health Accounts 2011 Edition'(SHA 2011), the curative care expenditure of NCDs in Anhui was calculated and analyzed. Results: The curative care expenditure of NCDs in Anhui in 2016 was 53.64 billion yuan,accounting for 62.68% of the curative care expenditure in Anhui. The curative care expenditure of NCDs was mainly from regular health financing schemes(66.55%) and out-of-pocket(27.85%). It mainly occurred in hospitals(84.51%), only 11.83% occurred in primary health care institutions, generally around the 40-84 year old age group. The consumption of medical resources were mainly in the circulatory system diseases, tumors, diseases of the digestive system. Conclusion: The financing structure was more reasonable and the medical institution configuration was 'inverted triangle'. It was proposed to reasonably optimize the financing structure, improve primary medical service capacity, focus on key age groups and diseases and carry out prevention work.
作者 龚玉洁 金秋 汤质如 江启成 GONG Yu-jie;JIN Qiu;TANG Zhi-ru;JIANG Qi-cheng(School of Health Administration,Anhui Medical University,Hefei,230032,China)
出处 《中国卫生经济》 北大核心 2019年第2期37-39,共3页 Chinese Health Economics
关键词 慢性非传染性疾病 治疗费用 卫生费用核算体系2011 安徽 non-communicable chronic disease curative care expenditure System of Health Accounts 2011 Anhui
作者简介 龚玉洁(1994-),女,硕士在读,研究方向:卫生经济政策与管理,E-mail:gongyujie101@163.com;通信作者:江启成,E-mail:jiangqicheng@ahmu.edu.cn。
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