How to control the economic burden of treating cardio-cerebrovascular diseases in China? Assessment based on System of Health Accounts 2011
How to control the economic burden of treating cardio-cerebrovascular diseases in China? Assessment based on System of Health Accounts 2011
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我国心脑血管疾病治疗经济负担如何控制？
DOI：
10.7189/jogh.10.010802
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发表时间：
2020-03
影响因子：
7.2
通讯作者：
Xin Wang
中科院分区：
文献类型：
--
作者：
Yalan Zhu;Chunping Liu;Luwen Zhang;Quan Fang;Shuang Zang;Xin Wang
背景过去二十年来，慢性非传染性疾病已成为主要疾病负担，而心脑血管疾病（CCVD）是慢性病死亡的主要原因。它已成为全球公共卫生关注的焦点，本研究利用2011年卫生账户体系（SHA 2011）测算卫生费用，探讨其经济负担，并提出对策。方法采用多阶段分层随机抽样的方法收集资料，从筹资计划、机构流程、服务功能等维度，采用SHA 2011统计分析方法计算CCVD患者的医疗费用。对影响住院费用的控制因素进行相关和回归分析。采用SPSS软件进行统计分析。结果大连市慢性心脑血管疾病的经常性卫生支出为39.86亿元，占总卫生支出309.47亿元的12.88%。CCVD的经常性治疗费用（CCE）为29.47亿元。40.39%的CCVD筹资来源于社会医疗保险，家庭卫生筹资比例较高（39.06%）。支出主要用于综合医院和老年患者。结论大连市CCVD费用负担巨大，浪费卫生资源严重。政府有必要调整融资结构，重新分配农村信用社的费用，使机构流动和职能分配更加合理。
Background In the past two decades, chronic non-communicable diseases have become the leading disease burden, and cardio-cerebrovascular diseases (CCVD) are the main causes of death in chronic diseases. It has become the focus of global public health attention, in this study, System of Health Accounts 2011 (SHA 2011) is used to calculate health expenditure, discuss its economic burden, and put forward countermeasures. Methods Data were collected by multi-stage stratified random sampling and the medical expenses of patients with CCVD were calculated based on SHA 2011, from the dimensions of the financing plan, institutional flow, and service function. Correlation and regression analysis were conducted by controlling factors influencing hospitalization expenses. All analysis were conducted by software SPSS. Results The current health expenditure (CHE) of CCVD in Dalian was 3.986 billion Yuan, accounting for 12.88% of the CHE (30.947 billion Yuan). The current curative expenditure (CCE) of CCVD was 2.947 billion Yuan. 40.39% of CCVD financing came from social medical insurance, and the proportion of family health financing was higher (39.06%). The expenditures were consumed by general hospitals and elderly patients. Conclusions The expenditure burden of CCVD in Dalian was massive, and wasted the health resource severely. It is necessary for the government to adjust the financing structure, reallocate the expenses of CCVD, and make institutional flow and functional distribution more reasonable.
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影响因子：
6.5
作者：
C. Hulme
通讯作者：
C. Hulme
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影响因子：
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作者：
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Oganov, Rafael
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作者：
Sidney C. Smith
通讯作者：
Sidney C. Smith
DOI：
--
发表时间：
2003
期刊：
--
影响因子：
--
作者：
C. Murray;Alan D. Lopez
通讯作者：
C. Murray;Alan D. Lopez