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四川省老年人群治疗费用核算结果与分析——基于卫生服务核算体系2011 预览

Analyzing The Treatment Cost Accounting of The Elderly in Sichuan Province Based on The “System of Health Accounts (SHA) 2011”
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摘要 目的:核算并分析四川省老年人治疗费用的特征和规律,为合理控制老年人治疗费用负担提供依据。方法:基于卫生服务核算体系2011版(SHA 2011)核算2016年四川省65岁及以上老年人治疗费用总量、疾病费用分布、机构流向、筹资方案等。结果:2016年四川省65岁及以上老年人的治疗费用为472.70亿元,占治疗总费用的29.51%;从GBD分类来看,79.17%的治疗费用消耗在慢性非传染性疾病,其中居于前3位的疾病类型分别为心血管疾病、呼吸系统疾病和消化系统疾病;治疗费用主要流向市级医疗卫生机构,基层医疗卫生机构占比不足20%;筹资主要来源为公共筹资293.25亿元,占62.04%。结论:四川省65岁及以上的老年人消耗的卫生资源较多,集中于慢性非传染性病。治疗费用的机构流向与筹资结构均有待进一步优化。 Objective To analyze the characteristics and rule of treatment cost of the elderly in Sichuan Province,and provide references for reasonably controlling the burden of treatment expenses on the elderly.Methods The total treatment cost,distribution of cost,organization flow and financing schemes of the elderly aged and over 65 years in Sichuan Province in 2016 were analyzed based on the'System of Health Accounts(SHA)2011'.Results In 2016,the cost of treatment for the elderly aged and over 65 in Sichuan Province was 47.27 billion Yuan,accounting for 29.51%of the total cost of treatment.According to the GBD classification,79.17%of the treatment expenses were consumed in chronic non-communicable diseases,the top 3 diseases among which were cardiovascular disease,respiratory system disease and digestive system disease.The treatment cost mainly flowed to municipal medical and health institutions,in which the proportion of primary medical and health institutions was less than 20%.The main source of financing was public financing of 29.32 billion Yuan,accounting for 62.04%.Conclusion The elderly aged and over 65 in Sichuan Province consumed more health resources,which concentrated on chronic non-communicable diseases.The institutional flow and financing structure of treatment costs need to be further optimized.
作者 黄诗尧 贾建勋 熊开举 冯琳 钟志刚 刘臻 孙群 杨练 HUANG Shi-yao(Chengdu University of Traditional Chinese Medicine,Chengdu)
出处 《中国卫生事业管理》 北大核心 2019年第3期191-193,200共4页 Chinese Health Service Management
基金 国家自然科学基金“吸烟与贫困:健康效应与挤出效应分析”(71603032).
关键词 卫生费用核算体系2011 老年人 治疗费用 四川省 System of Health Accounts 2011 the elderly cost of treatment Sichuan Province
作者简介 通讯作者:杨练.
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