中国全科医学2017，Vol.20Issue(25)：3163-3167,5.DOI:10.3969/j.issn.1007-9572.2017.25.021
基于经常性卫生费用的辽宁省治疗费用负担性别分布分析
Sex-specific Analysis of the Burden of Cost of Treatment in Liaoning Province in 2014 Based on Current Health Expenditure
摘要
Abstract
Objective To account the current health expenditure in Liaoning Province by using System of Health Accounts 2011 (SHA2011),and based on this,to present the sex-specific differences in burden of cost of treatment in the province,so as to provide more accurate healthcare economic information for policy-making by the health administrators from The People's Government of Liaoning Province.Methods By using multistage sampling and stratified sampling,Dalian,Liaoyang,Panjin and Tieling were chosen as the sample areas,and from which,a range of general hospitals,TCM hospitals,specialized hospitals,grassroots medical institutions,clinics,and public health institutions consisted of maternity and child care institutions mainly were selected.Relevant data from general hospitals in January,April,July and October of 2014 and from other medical institutions in 2014 were extracted.From the information department of these institutions,we obtained the outpatients and inpatients' data such as sex,age and diagnosis and so on.Based on the data from annual health finance reports,health statistics yearbook,and health and family planning commissions of various districts of the sample areas,we calculated and analyzed the cost of treatment of the participants,cost of treatment by sex and by the type of disease in these institutions.Results In general hospitals,TCM hospitals,grassroots medical institutions and clinics,female patients had the same cost of treatment as male patients;in specialized hospitals,the cost of treatment of male patients almost doubled that of female patients;in public health institutions,the cost of treatment of female patients made up 92.66％ of the total cost of treatment of the participants from these institutions.The cost of treatment of the participants from general hospitals,TCM hospitals and specialized hospitals totaled 65 787.024 9 billion,and that of the participants from general hospitals were 55 439.414 7 billion,respectively accounting for 85.18％,71.78％ of the total cost of treatment of participants from all the selected institutions.The cost of treatment per capita for male and female participants were 1 725.76 yuan and 1 914.63 yuan respectively.Expenses spent by males aged 55-64 occupied the majority of cost of treatment for males,and those by females aged 25-29 accounted for the majority of cost of treatment for females.If classified by the International Classification of Diseases 10th Revision (ICD-10),the major diseases that females paid for treatment were circulatory system diseases (20.88％),disorders during pregnancy and puerperium and childbirth-associated diseases (14.67％) and respiratory diseases (9.68％),and those that males paid for treatment were circulatory system diseases (37.63％),digestive diseases (13.30％) and respiratory diseases (7.57％);if classified by the global burden of disease (GBD),the major diseases that both males and females paid for treatment were non-communicablediseases,respectively accounting for 71.23％,56.57％ of the total cost of treatment of male participants,and that of female participants.Conclusion The medical burden on females was much heavier than that on males in Liaoning Province.The burdens for males and females were different in terms of age.Non-communicable diseases accounted for the most part of cost of treatment,which needs to be paid attention.关键词
经常性卫生费用/卫生保健费用/患病代价/性别Key words
Current health expenditure/Health care cost/Cost of illness/Gender分类
医药卫生引用本文复制引用
段文娟,慕昕,杨洋,宋杨,王昕..基于经常性卫生费用的辽宁省治疗费用负担性别分布分析[J].中国全科医学,2017,20(25):3163-3167,5.基金项目
国家自然科学基金资助项目(71673299) （71673299）
2017年度辽宁经济社会发展立项课题(2017lslktyb-178) （2017lslktyb-178）
中国卫生经济学会第十七届招标课题(CHEA1617070102) （CHEA1617070102）
