论文部分内容阅读
目的:介绍基于“卫生费用核算体系2011”(SHA 2011)的我国治疗服务(含康复)费用主要结果。方法:基于SHA 2011框架核算2012年中国治疗费用总量、受益人群费用分布、机构流向及筹资方案等。结果:2012年我国治疗费用总量为18 711.47亿元,占经常性卫生费用比重为75.59%,占GDP比重为3.60%,人均治疗费用1 381.90元;非传染性疾病、老年人群消耗了较多的治疗费用;治疗费用主要发生在医院,基层医疗机构治疗费用份额较低;治疗费用中家庭卫生支出占比为44.20%。结论:人群治疗费用负担较重;医疗资源配置不合理;需加大对特殊人群的健康干预,避免或降低治疗费用。
OBJECTIVE: To introduce the main results of the cost of our treatment services (including rehabilitation) based on the “SHA 2011” health expenditure accounting system. Methods: Based on the SHA 2011 framework, the total treatment costs in China in 2012, cost distribution of beneficiary groups, institutional flows and financing plans were calculated. Results: The total cost of treatment in China was 1,871.147 billion yuan in 2012, accounting for 75.59% of the total cost of regular health care, accounting for 3.60% of the GDP and the per capita treatment cost being 1,381.90 yuan. Non-communicable diseases and the elderly consumed more Of the treatment costs; treatment costs mainly occurred in hospitals, grass-roots medical institutions lower share of treatment costs; treatment expenses in family health expenditure accounted for 44.20%. Conclusion: The crowd burden of treatment is heavy; the allocation of medical resources is unreasonable; and the intervention of special population needs to be strengthened to avoid or reduce the treatment cost.