我国医疗经济负担研究现状与展望  

Medical economic burden in China: progress and prospects

作　　者：刘晓君[1,2] 胡永新[1] 袁兆康[1] LIU Xiao-jun;HU Yong-xin;YUAN Zhao-kang(Department of Health Statistics,School of Public Health,Nanchang University,Nanchang 330006,Jiangxi,China;Global Health Institute,Wuhan University,Wuhan 430071,Hubei,China)

机构地区：[1]南昌大学公共卫生学院卫生统计学教研室,南昌330006 [2]武汉大学全球健康研究中心,武汉430071

出　　处：《第二军医大学学报》2018年第10期1153-1157,共5页Academic Journal of Second Military Medical University

基　　金：国家自然科学基金(70763007)~~

摘　　要：医疗经济负担(亦称疾病经济负担)是因健康需求而消耗的一切现实或潜在的资源。我国医疗经济负担研究与欧美国家相比起步较晚,基础较弱,但近年来发展迅速。国内学术界对医疗经济负担的定义、内容及分类尚无统一标准,且相关研究更多是对单病种的经济负担研究和测算,虽然研究的内容较为丰富,但较少见对影响医疗经济负担因素的相关研究和探索工作,研究方法也较为局限和传统,对医疗保险和健康投资的医疗经济负担测算研究和应用亦较罕见。为此,本文提出今后可能拓展的研究方向主要有:(1)进一步深入开展探索医疗卫生服务费用影响因素的实证性研究和相关因素探索的研究工作;(2)尝试引入灾难性医疗指数相关指标,探索创新医疗经济负担研究的测算方法学,比较不同测算方法对测算结果的影响情况;(3)从交叉学科的视角多角度地对医疗经济负担进行探索研究。Medical economic burden,also known as economic burden caused by disease,is defined as the actual or potential resources consumed for health needs.Research on the medical economic burden in China starts late and has a weak foundation compared with European and American countries,but it has developed rapidly in recent years.At present,there is no uniform standard on the academic definition,content and classification of medical economic burden.Moreover,most researchers in China mainly focus on the economic burden of single disease,with abundant contents but limited and traditional methods,and the researches on the factors influencing the medical economic burden and the medical economic burden caused by medical insurance and health investment are rare.In this paper,we proposed that the future research directions of medical economic burden may include the following aspects:(1)empirical and exploratory studies on the influencing factors of medical and health service costs;(2)to introduce catastrophic medical indexes,explore innovative measurement methods for medical economic burden,and compare the differences between different measurement methods;and(3)exploratory research on medical economic burden through interdisciplinary perspectives.

关 键 词：医疗经济负担 卫生服务 方法 影响因素 

分 类 号：R191[医药卫生—卫生事业管理]