摘要
目的分析中国2013年主要慢性病住院患者自付费用与报销费用,为缓解慢性病经济负担提供政策建议。方法收集2013年第五次国家卫生服务调查中6978例癌症、糖尿病、心脑血管疾病、慢性呼吸道疾病住院患者相关数据,计算此四类主要慢性病住院患者的自付费用与报销费用。结果在自付费用上,癌症住院患者人均自付费用(城市4553元、农村5000元)与总自付费用(465.09亿元)均最高;在报销费用上,癌症住院患者人均报销费用最高(城市7800元、农村4800元),心脑血管疾病住院患者报销总费用最高(887.87亿元);在医疗总费用上,癌症住院患者的人均医疗总费用最高(城市13000元、农村10000元),心脑血管疾病住院患者的医疗总费用最高(1485.69亿元);在慢性病整体报销比例上,基本医保中城镇居民基本医疗保险的报销比例最低(54.06%)。结论癌症住院患者的人均自付费用和人均报销费用均最高,心脑血管疾病住院患者医疗总费用最高;基本医保中城镇居民基本医疗保险的保障力度最弱。
Objective To estimate self-paid and reimbursed medical expenses among major non-communicable chronic diseases(NCDs) during 2013 for developing strategies on alleviating disease-related economic burden in China. Methods The data on 6 978 inpatients with cancer, diabetes, cardiovascular or cerebrovascular disease, and chronic respiratory disease were extracted from the Fifth National Health Services Survey conducted in 2013. We also collected the data related to total hospital discharges of the inpatients with the four major NCDs in 2013 from the China Population Statistics Yearbook–2014 and the China Health and Family Planning Statistics Yearbook–2014. Then, the self-paid and reimbursed medical expenses of the 6 978 inpatients were analyzed and those for all the hospitalization due to the major NCDs were estimated.Results For the inpatients with the four major NCDs, those with cancer had both the highest calculated self-paid hospitalization medical expense per capita(4 553 and 5 000 yuan [RMB] for the inpatients from urban and rural regions) and the highest estimated total self-paid medical expense for all hospital discharges in the year(46.509 billion yuan);the inpatients with cancer also had the highest calculated medical expense per capita(7 800 and 4 800 yuan for the inpatients from urban and rural regions) reimbursed by medical insurance reimbursement, but the inpatients with cardiovascular or cerebrovascular diseases had the highest estimated total reimbursed medical expense for all hospital discharges in the year(88.787 billion yuan). The inpatients with cancer had the highest calculated total hospitalization medical expense per capita(13 000 and 10 000 yuan for the inpatients from urban and rural regions) but the inpatients with cardiovascular or cerebrovascular diseases had the highest estimated total medical expense for all hospital discharges in the year(148.569 billion yuan). The inpatients with Urban Resident Basic Medical Insurance(MIUR) had the lowest ratio(54.06%) of hospitalization expense rei
作者
王佳慧
尹航
张鑫
吴群红
单凌寒
李叶
李晨希
陈桂英
陈若卉
孟祥伟
李乐
WANG Jia-hui;YIN Hang;ZHANG Xin(School of Health Management,Harbin Medical University,Harbin,Heilongjiang Province 150081,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2021年第4期623-626,共4页
Chinese Journal of Public Health
基金
国家自然科学基金(71333003,71804036,71874045)
黑龙江省公共健康安全及医改策略研究高端智库基金。
关键词
自付费用
报销费用
住院患者
慢性病
out-of-pocket expense
reimbursed expense
inpatients
chronic disease
