上海市老年人医疗服务需求、利用及费用特征分析  

Analysis on the demand, utilization and cost characteristics of medical service for the elderly in Shanghai

作　　者：李芬[1] 丁玲玲[2] 王力男[1] 张晓溪[1] 王常颖[1] 陈雯 崔欣 邵桢谊 金春林[1] LI Fen;DING Ling-ling;WANG Li-nan;ZHANG Xiao-xi;WANG Chang-ying;CHEN Wen;CUI Xin;SHAO Zhen-yi;JIN Chun-lin(Shanghai Research Center for health and health development（Shanghai Institute of Medical Science and Technology Information）, Shanghai 200040, Chin)

机构地区：[1]上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海200040 [2]中南大学湘雅公共卫生学院,湖南长沙410008 [3]上海市卫生计生委信息中心,上海200040

出　　处：《卫生经济研究》2018年第6期26-29,共4页

基　　金：上海市第四轮公共卫生三年行动计划重点学科建设项目循证公共卫生与卫生经济学(15GWZK0901);Sino-UK Collaborative Study on the Impact of Population Aging on Medical Expenses in Shanghai and Opening Up Opportunities for the UK(16SS23)

摘　　要：基于上海市第五次卫生服务调查数据和健康信息网数据,对上海市老年人卫生服务需求、利用及费用特征进行统计分析。结果显示,上海市老年人的两周患病率为55.82%,是总体水平的1.92倍;共患疾病随年龄增加而递增;老年人门急诊和住院年人均就诊次数以及费用显著高于其他年龄组。建议加强多学科建设,探索整合型医疗服务;同时加强基层建设,引导老年人下沉就诊,降低医疗费用。Based on the data from the fifth Shanghai health service survey and the health information website, this paper analyzed the demand, utilization and cost characteristics of health services for the elderly in Shanghai. The results showed that the two-week prevalence rate of the elderly in Shanghai was 55.82%, which was 1.92 times of the total level. The multi-morbidity increased with the increase of age.The number and cost of outpatient visits and hospitalization per year were significantly higher than those of other age groups. It is suggested to strengthen the multidisciplinary construction and explore integrated medical services, at the same time, strengthen the basic level construction, guide the elderly to seek medical treatment at basic institutions to reduce the medical cost.

关 键 词：医疗服务需要 医疗服务利用 整合型医疗服务 医疗费用 老年人 

分 类 号：R19[医药卫生—卫生事业管理]