新疆生产建设兵团慢性非传染性疾病医疗费用核算研究

Analysis on Accounting the Medical Expenditure on Non-communicable Chronic Diseases for Xinjiang Production and Construction Corps

目的:核算2011年新疆生产建设兵团慢性非传染性疾病医疗费用,为调整慢性非传染性疾病医疗费用筹资政策提供参考依据。方法:以卫生费用核算体系SHA 2011为基础,采用自上而下的核算方法。样本机构通过多阶段分层抽样获得。结果:2011年新疆生产建设兵团慢性非传染性疾病医疗费用总额298 479万元,其中,政府、社会和个人支出比重分别为25.99%、43.59%和30.42%。住院费用占总费用的76.99%。慢性非传染性疾病医疗费用主要流向城市综合医院(71.89%)。65岁及以上人群花费了慢性非传染性疾病医疗费用的52.99%,心血管疾病医疗费用占比最高,达30.09%。结论:慢性非传染性疾病消耗的医疗资源较大;心血管疾病及35~55岁人群是慢性非传染性疾病防控的重点,应优化慢性非传染性疾病医疗资源在各级医疗机构间的分配。

Objective:To calculate the medical expenditure on non-communicable diseases(NCDs) for Xinjiang Production and Con-struction Corps in 2011 so as to provide reference basis for adjusting the financing policy for medical expenses of NCDs.Methods:Thetop-down accounting method was applied based on health expenditure accounting system SHA 2011. The sample institutions were gainedthrough multi-stage stratified sampling.Results:The total medical expenditure on NCDs was 2.985 billion. The government, society andpersonal expenditure accounted for 25.99%, 43.59% and 30.42% respectively. The inpatient services medical expenditure on NCDs ac-counted for 76.99%. The medical expenditure on NCDs was main flow to the urban general hospitals(71.79%) and primary medical institu-tions(22.85%). 52.99% of medical expenditure on NCDs was occurrence by people over the age of 65. Medical expenditure of cardiovascu-lar disease was up to 30.09%.Conclusion:Most of the health resources were consumed by NCDs. Cardiovascular diseases and the 35~55years old group was the focus of NCDs. It needed to optimize the health resource allocation of NCDs in different levels of medical institu-tions.