基于卫生费用核算的我国慢性病可避免住院费用分析

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英文篇名：Analysis on Potentially Preventable Hospitalization for Non-communicable Diseases Based on the System of Health Account in China 作者：柴培培 ; 张毓辉 ; 万泉 ; 翟铁民 ; 郭锋 ; 李岩 ; 黄云霞 ; 李涛 英文作者：CHAI Pei-pei;ZHANG Yu-hui;WAN Quan;China National Health Development Research Center; 关键词：慢性非传染性病可避免住院费用 ; 卫生费用核算 英文关键词：potentially preventable hospitalization for non-communicable diseases;;the System of Health Account 中文刊名：WEIJ 英文刊名：Chinese Health Economics 机构：国家卫生健康委卫生发展研究中心; 出版日期：2019-04-05 出版单位：中国卫生经济 年：2019 期：v.38;No.434 语种：中文; 页：WEIJ201904006 页数：4 CN：04 ISSN：23-1042/F 分类号：15-18

摘要

目的:核算分析2016年我国慢性病非传染性疾病(以下简称慢性病)可避免住院费用规模及结构,为提高我国医疗卫生资源利用效率提供政策依据。方法:以卫生费用核算为基础按照可避免住院疾病范围,核算分析我国慢性病可避免住院费用总量和构成。结果:2016年我国慢性病可避免住院费用总量为1 492.63亿元,占到总住院费用的10.45%。从机构分布看,65%的慢性病可避免住院费用主要发生在区县级医院;从疾病分布看,73%的可避免住院费用发生在慢性阻塞性肺病、糖尿病、高血压;从人群分布看,50岁及以上人群是可避免费用的消费主体。结论:我国可避免住院费用规模较大,反映出我国可避免住院问题比较严重,应加大对重点疾病、重点人群干预作用;探索建立我国可避免住院监测指标体系,为构建以医疗价值和健康为中心的医疗卫生服务体系提供信息支持。
        Objective: To account and analyze potentially preventable hospitalization(PPH) for non-communicable diseases(NCDs)so as to provide policy basis for improving the utilization efficiency of medical resources in China. Methods: Based on the System of Health Account 2011 and the determined scope of diseases, it accounted and analyzed the scale and structure of PPH for NCDs in China. Results: In 2016, the total expenditures of PPHs for NCDs were 149.26 billion yuan, accounted for 10.45% of total inpatient expenditures. In terms of its structure, 65% of preventable inpatient expenditures for NCDs occurred in hospitals at district and county level; 73% of preventable inpatient expenditures for NCDs were caused by chronic obstructive pulmonary disease, diabetes and hypertension; and people aged over 50 consumed the major of preventable inpatient expenditure. Conclusion: The incidence rate of PPHs for NCDs consumed a large scale of expenditures in China, which reflected that PPHs was serious; interventions should be made to target major diseases and population; it should explore the establishment of PPHs to inform the construction of value-centered and health-oriented health systems in China.

引文

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