基于“卫生费用核算体系2011”的北京市治疗服务受益人群分析

Analysis on the distribution of curative care expenditure for the beneficiaries of treatment services in Beijing: Based on the System of Health Account 2011

目的:基于"卫生费用核算体系2011"(System of health account 2011,SHA)分析北京市经常性卫生费用治疗服务的受益人群分布。方法:依据"卫生费用核算体系2011"框架核算2015年北京市受益人群费用分布。结果:(1)2015年,北京市治疗费用中,慢性非传染性疾病费用占总疾病费用的比重高达70.30%。(2)治疗费用最高的五类疾病依次为循环系统疾病、症状体征和临床与实验室异常所见、呼吸系统疾病、消化系统疾病以及肿瘤。(3)65岁以上人群人均治疗费用最高,消耗更多的医疗资源。(4)不同疾病费用的年龄分布存在差异,患者费用的疾病分布随年龄变化也呈现规律变动。结论:慢性非传染性疾病给社会和个人造成沉重的经济负担。循环系统疾病费用在疾病费用中排在首位,65岁以上人群消耗了更多的医疗资源,是费用控制的重点。

Objective ： To analyze the distribution of curative care expenditure among the beneficiaries of medical services in Beijing based on the System of Health Account 2011 （ SHA2011 ）. Methods： According to the SHA2011 framework, the distribution of the curative care expenditure among beneficiaries of medical services was estimated in Beijing in 2015. Results： （1） In 2015, the proportion of chronic non-communicable diseases accounted for 70.30% of the total curative care expenditure in Beijing. （2） The five types of diseases with the highest treatment costs were circulatory system diseases, symptoms and signs, clinical and laboratory abnormalities, respiratory diseases, digestive system diseases and tumors. （3） People aged over 65 presented the highest per capita treatment costs and consume more medical resources. （4） The age distribution varies as per differences in disease treatment costs, and the distribution of the patients＇ expenditure also varies regularly with age. Conclusions： The chronic non- communicable diseases cause heavy economic burden on society and individuals. The focus of expenditure control constitutes the cost of circulatory system diseases which ranks first in expensiveness for disease treatment, and people aged over 65 who consume more medical resources.