【摘要】 目的:通过对北京市医药分开综合改革后慢性病治疗费用的受益人群构成的分析,为慢性病相关政策的制定提供更好的数据参考。方法:采用多阶段分层整群抽样调查的方法,以北京市24家医院、57家社区卫生服务中心为研究对象,利用卫生费用核算体系核算2016—2017年北京市医院和社区慢性病患者治疗费用总量和受益人群构成。结果:2017年,各级机构慢性病门诊费用均上升,社区费用增长最快,增速达19.21%;二级医院住院费用下降,三级医院住院费用上升。各级机构慢性病患者费用的性别、年龄别和疾病别分布存在差异,60岁以上老年人群治疗费用比例较高,循环系统疾病费用占比最大。结论:医药分开综合改革实施后,不同受益人群的费用分布显示出不同变化,未来应加强对老年慢性病人群的重视,加大对循环系统疾病的关注。更多还原

【Abstract】 Objective: To analyze the beneficiary composition of the chronic disease treatment expenses after the comprehensive reform of Beijing’s medical division, and provide better references for the formulation of chronic disease-related policies. Methods:Using a multi-stage stratified cluster sampling survey method, taking 24 hospitals and 57 community health service centers in Beijing as the research objects, A System of Health Accounts 2011(SHA 2011) is used to account the total amount of patient treatment costs and the beneficiary composition among patients with chronic diseases in hospitals and communities in Beijing in 2016 and 2017. Results: In 2017, the cost of chronic disease outpatient services in institutions at all levels increased, and community expenses increased the fastest, with a growth rate of 19.21%; inpatient expenses in secondary hospitals decreased, and inpatient expenses in tertiary hospitals increased. There are differences in the gender, age and disease distribution of chronic disease patients at all levels of institutions.The proportion of treatment costs in the elderly over 60 years old is higher, and the circulatory diseases account for the largest proportion. Conclusion: After the implementation of the comprehensive reform of the separation of medicines, the cost distribution of different beneficiaries shows different changes. In the future, it needs to pay more attention to the elderly with chronic diseases and increase the attention to circulatory diseases.更多还原