| 引用本文: |
蒋艳,满晓玮,赵丽颖,等.基于“SHA2011”北京市不同来源老年人口治疗费用受益人群研究*[J].中国卫生经济,2023,42(6):46-50.[点击复制] |
JIANG Yan,MAN Xiao-wei,ZHAO Li-ying,et al.A Study of the Beneficiary Population of Curative Care Expenditure for the Elderly Population from Different Sources in Beijing: Based on "SHA 2011"[J].CHINESE HEALTH ECONOMICS,2023,42(6):46-50.[点击复制] |
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| 摘要: |
| 目的：通过研究北京市不同来源老年人口治疗费用受益人群现状，为提高首都老年人口卫生政策的精准性和科学性提供数据支持。方法：采用卫生费用核算体系2011，通过多阶段分层整群抽样调查，选择52家医院、29家社区为样本， 核算北京市地域范围内医疗机构老年患者治疗费用情况。结果：2019年北京市医疗机构老年患者的治疗费用为982.32亿元， 占比为39.78%，其中本地居民消耗为81.19%。本地患者以利用门诊服务为主，外来就医患者则主要利用三级医院的住院服务。来北京市就医的老年患者以低龄老年患者为主，60~70岁的患者治疗费用占比在60%以上。老年患者以慢性非传染性疾病为主，疾病分布相对集中，不同来源患者疾病分布呈现明显差异。结论：老年患者对医疗资源需求高，以慢性非传染性疾病为主，不同来源老年患者治疗费用在年龄别、疾病别、机构流向等方面的构成差异明显，卫生政策制定应该精准考虑不同来源老年患者的需求。 |
| 关键词: 卫生费用核算体系 2011 老年人口 治疗费用 受益人群 |
| DOI： |
| 投稿时间：2023-03-20 |
| 基金项目:北京市卫生健康委项目(BUCM-2021-KJ-GL007) |
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| A Study of the Beneficiary Population of Curative Care Expenditure for the Elderly Population from Different Sources in Beijing: Based on "SHA 2011" |
| JIANG Yan,MAN Xiao-wei,ZHAO Li-ying,CAO Sang-wei,CHENG Wei |
| (Beijing University of Chinese Medicine,Beijing 100029 ,China) |
| Abstract: |
| Objective: Beijing has entered a moderately aging society. It provided data support to improve the accuracy and scientific of health policies for the elderly population in the capital by exploring the current situation of the beneficiary population of curative care expenditure (CCE) for the elderly population in Beijing from different sources. Methods: A total of 52 hospitals and 29 communities were selected as samples through a multi-stage stratified whole-group sampling survey. System of Health Accounts 2011 (SHA2011) was used to calculate the CCE of elderly patients in medical institutions of Beijing. Results: The CCE of elderly patients in Beijing was 98.232 billion yuan，accounting for 39.78 %，of which 81.19 %was consumed by local residents in 2019. Residents mainly use outpatient services，while non-residents mainly use the inpatient services of tertiary hospitals. The elderly patients who come to Beijing for medical treatment were relatively young，with CCE between the ages of 60 and 70 accounting for more than 60 %of the total. Elderly patients were mainly suffered from chronic non-communicable diseases and the distribution of diseases was relatively concentrated. Meanwhile，the distribution of diseases of patients from different sources shows obvious differences. Conclusions: Geriatric patients were high demand for healthcare resources and were predominantly suffering from chronic non-communicable diseases. The CCE for elderly patients from different sources varied significantly by ages，diseases，and institutional flows，and health policies should take into account the needs of different patients precisely. |
| Key words: System of Health Accounts 2011 elderly population curative care expenditure beneficiary population |
