基于“SHA 2011”的吉林省慢性呼吸系统疾病患者治疗费用研究  

Treatment Costs for Patients with Chronic Respiratory Diseases in Jilin Province Based on"SHA 2011"

作　　者：于洗河[1] 钱美希 孔祥鸥 张晓琳 李灵希 杨鑫 YU Xihe(School of Public Health,Jilin University,Changchun,Jilin,130021,China)

机构地区：[1]吉林大学公共卫生学院,吉林长春130021

出　　处：《医学与社会》2025年第1期23-28,共6页Medicine and Society

基　　金：教育部人文社会科学研究规划基金项目资助(基于利益分析的医疗卫生人力资源下沉基层的动因及路径研,18YJAZH118)。

摘　　要：目的:分析吉林省慢性呼吸系统疾病患者的治疗费用规模及结构,为完善其防控策略和合理配置卫生资源提供依据。方法:以“卫生费用核算体系2011”为理论框架,对吉林省慢性呼吸系统疾病患者的治疗费用进行核算分析。结果:2021年吉林省慢性呼吸系统疾病患者的治疗费用为188418.46万元,占全省总治疗费用的2.58%,其中近55%用于60岁以上老年人,超70%用于其他慢性呼吸系统疾病、慢性上呼吸道疾病和慢性阻塞性肺疾病;男性治疗费用为女性的1.2倍;慢性呼吸系统疾病患者的治疗费用超85%发生在住院服务,有94.62%流向医院且以省级医疗卫生机构为主。结论:吉林省慢性呼吸系统疾病患者的疾病经济负担较重,建议加强儿童、老年人等重点人群和慢性阻塞性肺疾病等重点疾病的健康干预,并进行差异化防治;治疗费用的机构流向呈“倒三角”,建议合理优化资源配置结构,提升基层医疗服务能力。Objective:To analyze the scale and structure of treatment costs for patients with chronic respiratory diseases in Jilin province,so as to provide a basis for the improvement of prevention and control strategies and the rational allocation of health resources.Methods:The System of Health Accounts 2011(SHA 2011)was used to analyze the curative care expenditure of patients with chronic respiratory diseases in Jilin province.Results:In 2021,the treatment cost of patients with chronic respiratory diseases in Jilin province was 1.884 billion yuan,accounting for 2.58 percent of the province's total treatment costs,of which nearly 55 percent was spent on seniors over 60 years of age and more than 70 percent was spent on other chronic respiratory diseases,chronic upper respiratory diseases and chronic obstructive pulmonary diseases.The cost of treatment for men was 1.2 times that for women.More than 85 percent of patients'treatment costs were incurred in inpatient services,with 94.62 percent going to hospitals and predominantly to provincial health-care institutions.Conclusion:The economic burden of patients with chronic respiratory diseases is high in Jilin province,and it is recommended that health interventions should be strengthened for key populations such as children and the elderly,and for key diseases such as chronic obstructive pulmonary disease,and that differentiated prevention and treatment be carried out.The institutional flow of treatment costs presents an inverted triangle.It is recommended to optimize the resource allocation structure reasonably and enhance the capacity of grassroots medical services.

关 键 词：治疗费用 慢性呼吸系统疾病 卫生费用核算体系2011 吉林 

分 类 号：R-05[医药卫生] R195.1