| 引用本文: |
贺俊霖,段文娟,刘妍,等.基于“卫生费用核算体系2011”的辽宁省医疗费用机构分布分析[J].中国卫生经济,2016,(11):32-35.[点击复制] |
.Analysis on the Allocation of Liaoning Medical Expenditure among Health Institutions Based on SHA2011[J].CHINESE HEALTH ECONOMICS,2016,(11):32-35.[点击复制] |
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| 摘要: |
| 【目的】基于“卫生费用核算体系2011”（SHA2011）对辽宁省2014年医疗服务费用概况进行描述；从医疗机构角度对医疗费用的机构分配进行介绍。为辽宁省相关卫生政策的制定提供更加准确的数据支持。【方法】基于最新的 “卫生费用核算体系2011” 描述辽宁省2014年医疗费用的机构配置情况。【结果】2014年辽宁省医疗费用总量为548.96亿元，占经常性卫生费用比重为75.41%，占GDP比重为1.92%，人均医疗费用1295.32元；医院消耗的医疗费用最多，占比85.03%，基层医疗卫生机构消耗的医疗费用较少，仅占到总体医疗费用的1.39%；从住院费用和门诊费用构成可以看出，住院费用远高于门诊费用，占比达到87.19%。【结论】医疗卫生资源机构配置不够合理，亟待进一步优化；住院费用占比较高的问题应通过设计整体性的控费体系来解决。【关键词】卫生费用核算；医疗费用；SHA2011 |
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| Analysis on the Allocation of Liaoning Medical Expenditure among Health Institutions Based on SHA2011 |
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| Abstract: |
| ABSTRACT【Objective】The aim of our study was to provide more accurate data for drafting the related health policies through describing the results of Liaoning medical expenditure burden based on the System of Health Accounts 2011(SHA 2011) which included rehabilitation and long-term nursing service expenditure, and presenting medical expenditure from the allocation of medical expenditure in different health institutions.【Methods】The study descripted the general situation of Liaoning medical expenditure burden in 2014 by using the newest method----SHA2011.【Results】The aggregate of Liaoning medical expenditure was 54.896 billion yuan, accounted for 75.41% of current health expenditure and 1.92% of GDP. The per capita medical expenditure reached 1295.32 yuan; From perspective of the agency, medical expenditure of the hospital accounted for 85.03%, but medical expenditure of the primary health care institutions only accounted for 1.39%. From perspective of the constituent part of medical expenditure, hospitalization expenses accounted for 87.19% which was much higher than ambulatory care expenses.【Conclusion】The allocation of health resources among health agencies needed to be optimized. We should design an integral expenses-controlled system to solve the problem of high-proportion hospitalization expenses.【Key Words】National Health Accounts; Medical Expenditure Burden; System of Health Accounts 2011; |
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