2010年我国恶性肿瘤防治费用分析

Results and Analysis of Expenditure on Prevention and Treatment for Malignant Tumor in China in 2010

目的：分析2010年中国恶性肿瘤的防治费用规模、服务提供、筹资来源及费用的人群分布等。为其防控和筹资政策的制定提供依据。方法：运用OECD和WHO最新卫生费用核算体系SHA2011（System of Health Account，2011）的框架与方法。采用“自上而下”和“自下而上”相结合的方法。核算恶性肿瘤的防治费用。结果：恶性肿瘤防治费用占慢性病防治费用总额的7．35％。主要发生在45～59岁的中年人，预防服务费用仅占0．88％。个人自付占46．83％。结论：恶性肿瘤的防治；工作中，应减轻个人的筹资负担。增加预防工作的投入，建立恶性肿瘤综合防治机制。

Objective： To provide evidence for prevention and financing policy of malignant tumor by analyzing the expenditure scale, service provided, financing source and expenditure on prevention and treatment for malignant tumor. Methods： The latest accounting framework and method of SHA2011 （System of Health Account 2011） produced by OECD and WHO are applied, the ＂top- down＂ and ＂bottom-up＂ are used to estimate the expenditure on prevention and treatment for malignant tumor, Results： Prevention and treatment expenditure, for Malignant tumor accounts for 7.35% of the total expenditure of prevention and treatment for, the middle- aged people（45-49 years old） spent the major expenditure, preventive services cost only accounted for 0.88%, the individual paid for 46.83%. Conclusion： To prevent and treat malignant tumor, it is necessary to reduce the individual financial burden, increase investment on prevention and establish a comprehensive mechanism for the prevention and treatment of malignant tumor.