摘要
目的研究慢性非传染性疾病(简称慢性病)与卫生费用之间的关系及作用机制,明确慢性病是否是影响医疗费用的决定因素,不仅有助于控制卫生支出,对慢性病的预防与康复、发展基层医疗卫生服务、促进健康保健也具有重要的指导意义。方法采用理论与实证、定性与定量相结合的方法,从慢性病患病率及患病人群的角度探讨慢性病对卫生费用的影响及作用机制。结果从第五次国家卫生服务调查报告得知,我国慢性病患病率上升较快,且年轻化趋势较明显。根据我国卫生总费用研究报告可看出,我国卫生费用构成结构日趋合理,但总费用仍呈逐年上升的趋势。基于1993—2013年统计数据分析慢性病患病风险变化与医疗支出的变动关系,结果表明两者的变化趋势不同步且无规律可循。结论慢性病患病率的上升将会进一步推动卫生支出的上升,通过倡导居民健康生活,扭转"重治疗,轻预防"管理现状,构建高效分级医疗体系并大力发展社区卫生服务,降低慢性病在卫生总费用中的比重,是控制卫生费用不合理增长的有效途径。
Objective To study on the relationship and mechanism between chronic non-communicable diseases(chronic diseases)and the cost of health,and confirm that chronic diseases are the decision factors affecting medical expenses or not.Based on this not only helps to control health expenditure,but have important guiding significance for chronic disease prevention and rehabilitation,development of basic medical and health services,and promote health care.Methods Based on the combination of theory and empirical,qualitative and quantitative methods,the effects and mechanism of chronic diseases on health costs were discussed in terms of the prevalence of chronic diseases and the target population.Results According to the fifth National Health Service survey reports,the prevalence of chronic diseases in China was increasing rapidly and the trends of the younger age were more obvious.According to the research report on the total cost of health in China,the structure of health expenditure in China was becoming more and more reasonable,but the total cost was still increasing year by year.Based on the statistical data of 1993-2013,the relationship between the risk of chronic diseases and the change of medical expenditure was analyzed,and the results showed that the change trend of the two was not synchronous and irregular.Conclusion Rising prevalence of chronic diseases will further promote the rise in health spending.The ways of advocating healthy living among the residents,reversing the management status of"light prevention,heavy treatment"and building efficient hierarchical medical treatment system and developing community health services can reduce chronic diseases in the proportion of the total health expenses and control the unreasonable growth of health expenditure.
出处
《中国社会医学杂志》
2018年第1期79-82,共4页
Chinese Journal of Social Medicine
基金
国家自然科学基金项目(71473110)
江西省社科规划项目(15SH01)
江西省社科规划项目(17GL19)
关键词
慢性病
卫生费用
作用机制
Chronic diseases
Health expenditure
Influencing mechanism
