基于“卫生费用核算体系2011”的北京市医疗机构儿童治疗费用研究  

A Study of Children's Curative Care Expenditure in Medical Institutions in Beijing Based on SHA 2011

作　　者：蒋艳[1] 王悦 满晓玮[1] 赵丽颖[1] 程薇[1] Jiang Yan;Wang Yue;Man Xiaowei;Cheng Wei(Beiing University of Chinese Medicine.Beiiing,100029.China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中国卫生经济》2024年第5期79-81,87,共4页Chinese Health Economics

基　　金：北京市卫生健康委“2022年基于SHA2011的北京市经常性卫生费用核算”项目(BUCM-2023-KJ-GL005)。

摘　　要：目的:通过分析北京市儿童治疗费用情况,为进一步优化北京市儿童健康管理政策提供建议。方法:基于“卫生费用核算体系2011”,核算医疗机构儿童治疗费用。结果:2017—2019年北京市15岁以下儿童治疗费用分别为92.29亿元、97.54亿元、105.72亿元,年平均增长速度为4.67%,儿童治疗费用筹资结构以家庭卫生支出为主,占比均在65.00%左右;儿童门诊和住院治疗费用均以流向二级医院、三级医院为主;在治疗费用疾病别的构成中,呼吸系统疾病占比最高,达到了25.96%,其次是消化系统疾病,占比10.26%。结论:优化筹资结构,降低儿童患者家庭就医负担;加强基层儿科服务能力建设,合理引导青少年患者机构流向;加强对孕前、产前筛查等预防服务的财政投入,关注儿童安全教育,引导儿童商业意外伤害保险的实施。Objective:By analyzing the curative cost of treatment for children in Beijing,it provided recommendations for further optimizing child health management policies in Beijing.Methods:The System of Health Accounts 2011(SHA 2011)was used to calculate the CCE of children in Beijing's medical institutions.Results:The CCE of children under the age of 15 in Beijing were 92.29 billion yuan,97.54 billion yuan,and 105.72 billion yuan in 2017—2019,with an average annual growth rate of4.67%;the financing structure of children's CCE is dominated by family health expenditure,accounting for about 65%;children's outpatient and inpatient CCE primarily flew to secondary and tertiary hospitals;respiratory diseases account for the largest share of the disease categories of the CCE,with a share of 25.96%,followed by digestive diseases with a share of 10.26%.Conclusion:The financing structure needs to be optimized to lessen the financial burden of medical care on the families of child patients;the capacity of grass-roots pediatric services should be strengthened,and reasonably guide the flow of adolescent patients to institutions;financial investment should be increased for pre-pregnancy,prenatal screening and other preventive services.It needs to give careful consideration to children's safety education and encourage the implementation of children's commercial accidental injury insurance.

关 键 词：医疗机构 儿童 治疗费用 北京 卫生费用核算体系2011 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F014.4[经济管理—政治经济学]