基于“卫生费用核算体系2011”的安徽省儿童治疗费用研究
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1.安徽医科大学卫生管理学院;2.安徽省卫生和计划生育委员会 财务处

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R195

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Study on the Curative Care Expenditure of Children in Anhui Province Based on SHA2011
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1.Anhui Medical University,School of Health Administration;2.Health and Family Planning Commission of Anhui Province, Financial Department

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    摘要:

    摘要:目的:研究安徽省儿童治疗资金筹资、分配和使用情况,为今后相关卫生政策的调整和制定提供参考。方法:参考基于“卫生费用核算体系2011”的中国儿童卫生费用核算方法,对安徽省儿童治疗费用进行核算与分析。结果:2016年安徽省儿童治疗费用为74.98亿元,占全省治疗费用的8.76%,人均治疗费用为662.75元。其主要来源于公共筹资(35.07%)和家庭卫生支出(61.36%);主要发生在医院(76.09%),仅15.59%发生在基层医疗机构;主要分布在0-4岁年龄组,医疗资源消耗居于前位的是呼吸系统疾病、起源于围产期的某些情况和损伤、中毒和外因某些其他后果。结论:家庭经济负担严重且筹资结构不合理,医疗机构配置失衡且患者就医流向不合理,建议调整筹资结构,提升基层医疗服务能力,关注重点人群并采取有效防控措施。

    Abstract:

    Abstract Objective: To study the financing, distribution and use of funds for curative care of children in Anhui Province, and provide reference for the adjustment and formulation of relevant health policies in the future. Methods: Referring to the expenditure accounting of health for children in China based on the “A System of Health Accounts 2011 Edition”, the curative care expenditure of children in Anhui was calculated and analyzed. Results: The curative care expenditure of children in Anhui in 2016 was 7.50 billion yuan, accounting for 8.76% of the curative care expenditure in the province, and the per capita curative care expenditure was 662.75 yuan. In 2016, curative care expenditure of children in Anhui was mainly from regular health financing schemes(35.07%) and household out-of-pocket payment (61.36%), mainly in hospitals (76.09%), only 15.59% occurred in primary health care institutions, mainly in the 0-4 year old age group, medical resources are at the top of the list of respiratory diseases, certain conditions that originate in the perinatal period and injuries, poisoning, and other causes of external causes. Conclusion: The economic burden on the family is serious and the financing structure is unreasonable. The medical institution configuration is imbalanced and the flow of patients for medical treatment is unreasonable. It suggests that the financing structure should be adjusted, primary health care services should be upgraded, and key populations should be monitored and effective prevention and control measures should be taken.

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  • 收稿日期:2018-08-03
  • 最后修改日期:2018-10-25
  • 录用日期:2019-05-13
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