分级诊疗背景下吉林省慢性非传染性疾病治疗费用研究

Study on the Chronic Diseases Curative Care Expenditure in Jilin under the Background of Health Care Grading System

目的:综合分析吉林省慢性非传染性疾病治疗费用现状和特征,为卫生政策制定提供数据支持和建议。方法:基于"卫生费用核算体系2011",核算分析吉林省慢性非传染性疾病治疗费用总量及构成。结果:2014年吉林省慢性非传染性疾病治疗费用总量为320.22亿元,占全省治疗费用的65.51%。从疾病角度,心血管疾病和恶性肿瘤等居于治疗费用消耗前五位疾病类型,其治疗费用占全部慢性病治疗费用的66.22%;从服务角度,除口腔疾病的治疗费用大部分消耗在门诊服务外,其他系统慢性病的治疗费用则主要消耗在住院服务;从机构角度,其治疗费用中65.83%的费用发生在省市级医疗卫生机构。从筹资角度,吉林省慢性病治疗费用中家庭卫生支出占比为41.77%;结论:吉林省慢性病治疗费用规模庞大,机构分布呈"倒三角"现象,筹资结构需要优化。

Objective： To comprehensively analyze the present situation and characteristics nfthe curative care expenditure of chronic diseases in Jilin, and to provide data support and suggestions for health policy formulation. Methods： The System of Health Accounts 2011 （SHA2011） was used to analyze the total and composition of curative care expenditure of non-communicable chronic diseases in Jilin province. Results： In 2014, the curative care expenditure of ehronic diseasesin Jilin province reached to 32.02 bil- lion yuan, which accounted for 65.51% of curative care expenditureof the all diseases in Jilin.From the perspective of disease costs, the curative care expenditure of chronic diseases occurred in cardiovascular disease, malignancy and other chronic diseases reachedto 66.22%. From the perspective of service composition, the curative care expenditure ofchronie diseases except oral disease occurred more in the hospiial. From the perspective of medical institutions costs, thecurative care expenditureof chronic diseases occurred in ur- ban medical institutions reached to 65.83%. From the perspective of care financing, the household out-of--pocket （OOP） accounted fnr 41.77%of curative care financing forchronic diseases in Jilin. Conclusion： Thecnrative care expenditureof chronic diseases in Jilin had a large scale. The distribution of medical institutions costsof chronic diseases showed as ＂inverted triangle＂ in Jilin. The financ- ing stnlcture of thecurative care expenditureof chronic diseases needed to be improved.