文章摘要
龚玉洁,金 秋,谢俊峰,汤质如,江启成.基于“卫生费用核算体系2011”的安徽省儿童治疗费用研究[J].南京医科大学学报(社会科学版),2019,(2):147~150
基于“卫生费用核算体系2011”的安徽省儿童治疗费用研究
Study on the curative care expenditure of children in Anhui Province based on SHA2011
投稿时间:2018-10-25  
DOI:10.7655/NYDXBSS20190215
中文关键词: 治疗费用  卫生费用核算体系2011  儿童  安徽省
英文关键词: curative care expenditure  System of Health Accounts 2011  children  Anhui Province
基金项目:安徽省卫生计生委横向合作项目“安徽省卫生总费用核算研究”
作者单位
龚玉洁 安徽医科大学卫生管理学院安徽 合肥 230032 
金 秋 安徽医科大学卫生管理学院安徽 合肥 230032 
谢俊峰 安徽省卫生和计划生育委员会财务处安徽 合肥 230002 
汤质如 安徽医科大学卫生管理学院安徽 合肥 230032 
江启成 安徽医科大学卫生管理学院安徽 合肥 230032 
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中文摘要:
      基于“卫生费用核算体系2011”,对安徽省儿童治疗费用进行核算与分析,研究安徽省儿童治疗资金筹资、分配和使用情况。结果发现,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%),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等。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。
英文摘要:
      This study summaries the financing, distribution and use of funds for curative care of children in Anhui Province, and provides a future reference for the adjustment and formulation of relevant health policies. Refer 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 in this work. The curative care expenditure of children in Anhui in 2016 cost 7.50 billion?yuan, accounting for 8.76% of the curative care expenditure in this province, among which the per capita curative care expenditure was 662.75 yuan. In 2016, curative care expenditure of children in Anhui was mainly derived from regular health financing schemes(35.07%),the household out?of?pocket payment (61.36%)focused mainly in hospitals (76.09%), only 15.59% occurred in primary health care institutions mainly in the 0~4 year old age group. The cost of medical resources are primarily from respiratory diseases that certain conditions originated from the per natal period and injuries, poisoning, and other external causes. Notably, the economic burden on the family remiansritical and the financing structure is yet optimized. The configuration system of medical institution is imbalanced and thus causing the flow of patients for proper medical treatment is not well organized. It suggests that the financing structure should be adjusted by up grading primary health care services certain populations should be paying more care and attention that effective prevention and control measures should also be taken into consideration.
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