慢性非传染性疾病费用分析及政策取向

ASSESSMENT OF COST EFFECTIVE AND POLICY ON NON COMMUNICABLE CHRONIC DISEASE

本文对济南等６个城市进行了一次慢性非传染性疾病费用及相关卫生资源的回顾性调查，结果显示：慢性病的住院费用的增长速度大大超过卫生总费用的增长速度，预示着慢性病将消耗更多的卫生资源和吸收更多的卫生费用。然而慢性病的治疗效果甚微，成本效益很低。因此控制慢性病的政策取向，首先是通过健康教育使人们自觉地避开或减少慢性病的风险因素的影响以降低患病率，其次是通过将病人分流到基层医院和建立社区卫生服务等途径使慢性病每病例住院费用大大降低，从而提高卫生资源的使用效率。

oncommunicable chronic diseases (NCD) are turning into a main health problem in the ruban.The increasing speed of the average expendition of NCD inpatients had been surpassed the increasing speed of total health expendition greatly.It indicates that NCD will consume more and more health resures,but effectiveness of treating of NCD is not good and often with a low level cost effective.So controling exlenditons of NCD may do two efforts.1.making people to know how to avoid the risk factors of NCD;2.let the inpatients be in primary hospital,and establish community health service system,so that the avearge inpatient expenditions for NCD could be reduced and the utilization of health resouces could be increased.