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本文对济南等6个城市进行了一次慢性非传染性疾病费用及相关卫生资源的回顾性调查,结果显示:慢性病的住院费用的增长速度大大超过卫生总费用的增长速度,预示着慢性病将消耗更多的卫生资源和吸收更多的卫生费用。然而慢性病的治疗效果甚微,成本效益很低。因此控制慢性病的政策取向,首先是通过健康教育使人们自觉地避开或减少慢性病的风险因素的影响以降低患病率,其次是通过将病人分流到基层医院和建立社区卫生服务等途径使慢性病每病例住院费用大大降低,从而提高卫生资源的使用效率。
This article conducted a retrospective survey of the cost of chronic non-communicable diseases and related health resources in six cities such as Jinan. The results showed that the rate of increase in hospitalization costs for chronic diseases greatly exceeds the growth rate of total health expenditure, indicating that chronic diseases will consume more. More health resources and absorb more health costs. However, the treatment of chronic diseases has little effect and cost-effectiveness is very low. Therefore, the policy orientation of controlling chronic diseases is firstly to make people consciously avoid or reduce the influence of risk factors of chronic diseases to reduce the prevalence rate through health education, and secondly to make chronic diseases by diverting patients to primary hospitals and establishing community health services. The cost of hospitalization in each case is greatly reduced, thereby improving the efficiency of the use of health resources.