中医药预防保健服务成本测算

Cost Estimation of Traditional Chinese Medicine Preventive Health Services(TCMPHS)

目的测算上海中医药预防服务某试点街道2013年的成本和人均成本。方法通过焦点组访谈、现场观察和问卷调查在某社区卫生服务中心收集数据,采用微成本法对数据进行分析。结果2013年,该社区的中医药预防保健服务总成本为54.8万元~78.7万元,平均66.7万元,各项服务的人均成本范围为10.42元~14.97元,平均为12.70元。其中,劳动力成本占总成本的90%以上。而'老年人体质辨识'、'高血压中医随访'和'老年人体质辨识解读'服务消耗了56%的成本。结论中医药预防保健服务成本主要是劳动力成本,接受服务最多的是老年人。由于服务时间因人而异,成本会在较大范围内浮动。如用于决策,则需要考察大量样本来制定标准服务时间。

Objective To estimate the total and per capita cost of traditional Chinese Medicine Preventive Health Services(TCMPHS) in a district pilot in Shanghai, China. Methods Cost was calculated through Micro-costing approach. Data were collected through questionnaire survey, the focus group discussion and the field observation. Results In 2013, the total cost of TCMPHS was about 667 000 RMB, ranging from 548 000 RMB to 787 000 RMB. Per capita cost was around RMB 12.70, ranging from RMB 10.42 to 14.97. Conclusion Most cost of TCMPHS is labor cost, and the elderly are main recipients. Because cost varies with the change of service time among people, decision makers should review huge samples if they want to determine the standard service time.