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背景:慢性非传染性疾病已经成为影响居民的主要健康问题。确定防治的优先领域,合理的防治筹资安排是减轻居民经济负担,降低卫生费用的关键。方法:利用OECD和世界卫生组织卫生费用核算方法 (2011)对天津市慢性非传染性疾病防治费用进行核算。结果:天津市慢性非传染性疾病防控资源消耗巨大,占卫生总费用比重为70.85%。慢性非传染性疾病防治费用预防服务费用仅占全部费用的1.85%。建议:应加强对心脑血管疾病、糖尿病和慢阻肺的重点防控。继续完善以社区为基础的慢性非传染性疾病管理模式,加大政府对慢性非传染性疾病预防工作的投入,继续完善医疗保障制度,制定中长期慢性非传染性疾病防控规划,协调多部门联合参与。
Background: Chronic noncommunicable diseases have become the major health problems affecting residents. Determine the prevention and treatment of priority areas, a reasonable prevention and control of funding arrangements to reduce the economic burden on residents, reduce the cost of health key. METHODS: The costs of prevention and treatment of chronic non-communicable diseases in Tianjin were accounted for using the OECD and WHO Health Expenses Accounting Methods (2011). Results: The cost of prevention and control of chronic non-communicable diseases in Tianjin was huge, accounting for 70.85% of the total health expenditure. The cost of prevention and treatment of chronic non-communicable diseases is only 1.85% of the total cost. Suggestion: Should strengthen the cardio-cerebral vascular disease, diabetes and chronic obstructive pulmonary disease prevention and control. Continue to improve the community-based management of chronic non-communicable diseases, increase the government’s investment in prevention of chronic non-communicable diseases, continue to improve the medical insurance system, formulate long-term chronic non-communicable disease prevention and control programs, coordinate multisectoral Joint participation.