北京市中医优势病种本地居民与外来就医者治疗费用的分布研究

Analysis on the Distribution of Treatment Costs for Beijing Residents and Non-residents with TCM Dominant Diseases

目的:通过比较分析北京市中医优势病种本地居民和外来就医患者治疗费用的分布情况,为优化协调区域内与区域间的卫生资源配置、发现重点人群提供参考。方法:运用分层整群抽样方法,获得205家不同类别医疗机构,以卫生费用核算体系2011为基础,核算2019年北京市医疗机构不同来源中医优势病种患者的治疗费用情况。结果:2019年北京市中医优势病种治疗费用占全市整体疾病治疗费用的13.74%,以本地居民治疗费用为主,本地居民与外来就医患者治疗费用的诊疗范式、机构、性别、年龄分布存在差异。结论:中医优势病种治疗费用规模较大,主要流向三级医院,中医治疗病种、优质住院服务对外来就医患者更具吸引力,建议优化医疗资源布局,在制定政策前充分考虑不同人群的就医需求。

Objective:To provide a reference for optimal coordination of intra-regional and inter-regional health resource alloca-tion and identification of key populations by comparing and analyzing the distribution of treatment costs for local residents and foreign patients seeking medical treatment for dominant Traditional Chinese Medicine(TCM)diseases in Beijing.Methods:Using a stratified whole-group sampling method,205 different types of medical institutions were obtained to account for the treatment costs of patients with different sources of TCM dominant diseases in Beijing medical institutions in 2019 based on the System of Health Accounts 2011.Results:In 2019,the treatment cost of dominant TCM diseases in Beijing accounted for 13.74%of the overall disease treatment cost in the city,dominated by the treatment cost of local residents,with differences in the treatment paradigm,institution,gender,and age distribution between local residents and foreign patients seeking medical treatment.Conclusion:The cost of treatment for the dom-inant diseases in TCM is large in scale and mainly flows to tertiary hospitals,TCM treatment and quality inpatient services are more at-tractive to incoming patients,and it is recommended to optimize the layout of medical resources and fully consider the medical needs of different population before formulating policies.