武汉市新冠肺炎疫情医疗服务成本估算

Cost estimation of medical services for COVID-19 epidemic in Wuhan city

目的基于社会视角,对湖北省武汉市开展新型冠状病毒肺炎(以下简称新冠肺炎)疫情医疗服务成本估算,为我国未来可能发生的突发公共卫生事件的应对提供决策依据和建议。方法通过政策文件检索与文献复习、访谈调查与专家咨询等方法调查并确定估算模型及其取值,估算2019年12月27日至2020年4月26日的武汉市新冠肺炎医疗服务成本。结果经估算,武汉市新冠肺炎疫情医疗服务总成本为8152670867元,其中医保支付医疗费用部分721800387元(8.85%),非医保支付医疗费用部分434813725元(5.34%),其他医疗服务相关措施投入6996056755元(85.81%)。结论武汉市新冠肺炎疫情医疗服务总成本投入巨大,结合成本估算结果可为政府提供疫情医疗投入的基础信息、决策依据及相关建议。

Objective To simulate the cost of medical services for COVID-19 epidemic in Wuhan city from the social perspective,as references and suggestions in case of possible public health emergencies in China in the future.Methods By such means as policy documents and literature review,interview survey and Delphi method,a cost estimation model was built and confirmed to simulate the cost of medical services for COVID-19 in Wuhan,from December 27,2019 to April 26,2020.Results The total cost of medical services during the COVID-19 epidemic in Wuhan was 8152670867 yuan.721800387 yuan(8.85%)of the medical cost was covered by medical insurance;the medical cost covered by sources other than medical insurance was 434813725 yuan(5.34%);the cost of additional measures related to medical service was estimated to be 6996056755 yuan(85.81%).Conclusions The total cost of medical services during the COVID-19 epidemic in Wuhan was gigantic.The cost estimation results can provide the government with basic information,decision-making basis and suggestions regarding epidemic control.