医疗高需求患者卫生保健策略研究

Healthcare strategy for high-need patients

在中国医改进程中,社会公众"看病贵"的呼声从未间断。但大数据分析表明:只占较少比例(5%)的医疗需求较高的患者,医疗费用占居民医疗总支出的较大比例(约50%)。"看病贵"问题显然并非普遍存在。本文在引入医疗高需求患者概念的基础上,归纳分析医疗高需求患者特征,借鉴国际上医疗高需求患者卫生保健组织及项目的做法经验,分析未来中国医疗高需求患者的保健策略,以期为医改和卫生政策制定提供指导。

During the process of China＇s healthcare reform, the concept of ＂costly access to health care＂ has been discussed for quite a long time. However, big data indicates that a small number of patients （5%） account for disproportionate costs （approximately 50% ）. ＂Costly access to health care＂ may not be a ubiquitous perceived problem for all residents. In this paper, the concept ＂high-need patient＂ will be introduced and the characteristics of the population will be analyzed. According to the healthcare reform experience from the international perspective, this paper proposed healthcare strategy for Chinese high-need patients and policy recommendations for China＇s healthcare reform.