四川省肿瘤疾病治疗总费用研究

Analysis of expenditure on treatment for tumor diseases in Sichuan Province

目的分析四川省肿瘤疾病治疗费用的规模、服务功能、筹资方案和提供机构,为合理配置卫生资源提供依据。方法采用多阶段分层整群随机抽样的方法,在四川省抽取1652家相关医疗、卫生机构,利用《四川省卫生财务年报》和《四川卫生和计划生育统计年鉴》等官方资料的总量数据,以"卫生费用核算体系2011版(SHA2011)"为方法学框架,对四川省肿瘤治疗费用进行核算及统计学描述。结果四川省肿瘤的治疗费用为148.75亿元,女性肿瘤治疗费用为71.36亿元,男性肿瘤治疗费用为77.39亿元,肿瘤治疗费用的中有71.67%发生在综合医院,肿瘤治疗费用以公共筹资方案(52.45%)和个人家庭卫生支出(43.58%)为主。结论四川省人群的肿瘤治疗费用已经造成严重的社会负担,除对重点人群和重点肿瘤疾病的干预力度有待加强外,分级诊疗在肿瘤防治中的作用也需要提高,进一步降低居民的自付比例。

Objective To analyze the scale,service functions,funding programmes and providers of the expenditure on tumor treatment in Sichuan Province,and to provide evidence for rational allocation of health resources.Methods A total of 1 652 relevant medical and health institutions in Sichuan Province were selected using multi-stage stratified cluster random sampling method.System of Health Accounts 2011 Edition Concise version (SHA2011) was adopted as the methodology framework,with the total official data from Sichuan Health Financial Annual Report and Sichuan Health and Family Planning Statistical Yearbook.Accounting and statistical description of expenditure on tumor treatment in Sichuan Province were conducted.Results The expenditure on tumor treatment in Sichuan Province was 14.875 billion yuan,with the treatment cost for female tumor being 7.136 billion yuan,and the cost of treatment for male tumor being 7.739 billion yuan.71.67 % of the expenditure on tumor treatment occurred in general hospitals,and the expenditure on tumor treatment was mainly based on public financing programme (52.45%) and personal family health expenditure ( 43.58 %).Conclusion The expenditure on tumor treatment in Sichuan Province has caused a serious social burden,and the intervention for the key population and key tumor diseases need to be strengthened.In addition,the role of grading treatment in tumor prevention also needs to be improved to further reduce the ratio of residents individual expenditure.