How Serious is the Economic Burden of Diabetes Mellitus in Hainan Province? A Study Based on "System of Health Account 2011"
How Serious is the Economic Burden of Diabetes Mellitus in Hainan Province? A Study Based on "System of Health Account 2011"
复制标题
海南省糖尿病经济负担有多严重？
DOI：
10.1007/s13300-019-00712-0
复制
发表时间：
2019-10-18
期刊：
影响因子：
3.8
通讯作者：
Wang, Xin
中科院分区：
文献类型：
--
作者：
Dong, Yuanyuan;Liu, Chunping;Wang, Xin
糖尿病的治疗需要大量使用医疗资源，导致高昂的医疗费用，从而给社会、患者及其家庭带来沉重的经济负担。方法采用多阶段分层随机抽样方法，对海南省283家医疗卫生机构进行调查。以2011年海南省卫生总账户为基础，分析海南省2016年糖尿病医疗费用总额、机构流向、服务功能构成及受益人医疗费用分布情况。采用STATA 12.0版统计软件包整理手术资料，用SPSS软件对住院费用的影响因素进行回归分析。结果2016年，海南省糖尿病治疗总医疗费用为2421.7亿元，其中81.95%的费用在高水平医院，14.71%的费用在基层医疗机构。门诊费用和住院费用差异不大（分别为53.01%和46.99%）。提供基层医疗服务的医疗机构，住院费用占总费用的77.62%。发现老年患者在医疗和药物支出上花费更多。结论海南省糖尿病患者医疗费用经济负担巨大，且患者治疗集中在大医院。应告知患者更多地关注提供基层医疗的医疗机构，调整医保报销比例，控制住院费用，加强中老年糖尿病患者的医疗保健管理。只有这样，才能降低成本，减轻经济负担。
Introduction The treatment of diabetes requires extensive use of healthcare resources, resulting in high medical costs, which in turn places a heavy economic burden on society, patients and their families. Methods A multi-stage stratified random sampling method was used to investigate 283 medical and health institutions in Hainan Province. The total medical expenses relating to diabetes in Hainan Province in 2016, institutional flow directions, the composition of service functions and the distribution of the healthcare costs to beneficiaries were analyzed based on the System of Health Account 2011. The STATA version 12.0 statistical software package was used to collate operation data, and SPSS software was used to carry out regression analysis on the factors affecting hospitalization costs. Results In 2016, the total medical expenses for the treatment of diabetes in Hainan Province was 242.17 billion renminbi (RMB), of which 81.95% was spent in high-level hospitals and 14.71% was spent in medical institutions providing primary care. There was little difference between outpatient and hospitalization expenses (53.01 and 46.99%, respectively). Hospitalization accounted for 77.62% of the expenses of medical institutions providing primary care. Older patients were found to spend more on medical and drug expenditure. Conclusion The economic burden of healthcare expenses for the treatment of diabetes in Hainan Province is massive, and patient treatment is concentrated in large hospitals. It is necessary to inform patients to focus more on medical institutions that provide primary care, adjust the proportion of medical insurance reimbursement, control the cost of hospitalization and strengthen the healthcare management of middle-aged and elderly diabetic patients. Only in this way can costs be reduced and the economic burden be eased.