摘要
目的:基于吉林省心脑血管疾病卫生费用结果分析吉林省心脑血管疾病卫生费用的筹资现状和存在的主要问题。方法:以卫生费用核算体系2011版(SHA 2011)为基础,从筹资方案、机构流向和服务功能维度对吉林省心脑血管疾病卫生费用进行核算。结果:心脑血管疾病消耗了大量卫生资源,费用总额达71.10亿元。心脑血管疾病费用中公共筹资方案占比最高,为52.21%,其中政府方案占比为28.53%;家庭个人负担较重,为41.25%。不同服务功能、人群和疾病费用的筹资差异很大;门诊服务的家庭个人负担比重高于住院服务;预防服务筹资主要来自于政府方案,占比超过了90%;不同疾病的筹资负担中,原发性高血压、肺源性心脏病和脑梗塞的家庭个人负担较重,家庭个人卫生支出占比在50%以上。结论:现有的医疗保障政策和制度中,缺乏对心脑血管疾病保障方面的有效设计,地方政府应积极承担筹资责任,并确保筹资的充足、稳定和可持续发展,重点加强对耗用卫生资源大和家庭个人负担重的心脑血管疾病的防控。
Objective： To analyze the financing status and existing problems of cardio-cerebral vascular diseases expenditure through estimating cardio-cerebral vascular diseases expenditure in Jilin. Methods： Based on System of Health Account 2011（SHA 2011） framework, it estimated the expenditure on eardio-cerehral vascular diseases in Jilin by financing scheme, heahh provider and health function. Results： Cardio-cerebral vascular diseases had consumed a great number of health resources, which costed 7.11 billion yuan. In financing, public financing schemes contributed the largest share（52.21%）, of which, government schemes at.counted for 28.53%; household assumed a heavy financial burden, contributing 41.25%. It varied greatly in financing among different heahh functions, population groups and diseases. Household out-of-pockets（OOP） financed more in outpatient care than inpatient care in relative term; preventive care was mainly financed by government financing schemes（over 90%）; as for primary hypertension, pulmonaD, heart disease and cerebral infarction, households shouldered heavier financial burden, with OOP sharing over 50% in financing, Conclusion： Current medical security policies and institutions lacked effective arrangements for cardio-cerebral vascular diseases. Local governments should take responsibilities actively and make measures to guard sufficiency, stability and sustainability of financing for those diseases, and prioritize and intensify the prevention and control for cardio-cerebral vascular diseases, which featured substantial consumption of health resource and heavy household financial burden.
出处
《中国卫生经济》
北大核心
2017年第3期25-28,共4页
Chinese Health Economics
关键词
心脑血管疾病
卫生筹资
吉林
cardio-cerebral vascular diseases expenditure
health financing
Jilin
