天津市慢性非传染性疾病防治费用核算研究

Research on NCDs Accounts in Tianjin

背景:慢性非传染性疾病已经成为影响居民的主要健康问题。确定防治的优先领域,合理的防治筹资安排是减轻居民经济负担,降低卫生费用的关键。方法:利用OECD和世界卫生组织卫生费用核算方法 (2011)对天津市慢性非传染性疾病防治费用进行核算。结果:天津市慢性非传染性疾病防控资源消耗巨大,占卫生总费用比重为70.85%。慢性非传染性疾病防治费用预防服务费用仅占全部费用的1.85%。建议:应加强对心脑血管疾病、糖尿病和慢阻肺的重点防控。继续完善以社区为基础的慢性非传染性疾病管理模式,加大政府对慢性非传染性疾病预防工作的投入,继续完善医疗保障制度,制定中长期慢性非传染性疾病防控规划,协调多部门联合参与。

Background：NCDs is the main issue affected the health status of residents.Identifying the priority and establishing rational financing arrangement of NCDs is the key point to relieve the economic burden and to reduce the health expenditure.Method： The article estimated the expenditure on NCDs prevention and treatment in Tianjin,under the framework of SHA 2011 produced by OECD and WHO.Results： Most of the health resources were allocated to NCDs prevention and treatment,which accounted for 70.85% of total health expenditure in Tianjin in 2009.Expenditure on NCDs prevention as share of NCDs expenditure was 1.85%.Suggestions： CVDs,diabetic and COPD are the priority to control.The government subsidy to NCDs prevention is enhanced to perfect the community based NCDs management model.Health insurance system should be improved and medium and long term plan of NCDs prevention should be developed,and the multi-sectors be joint participated and coordinated.