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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1 295.32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。
OBJECTIVE: To describe the general situation of Liaoning Province medical service expenses in 2014 based on SHA2011, and to introduce the institutional distribution of medical expenses from the perspective of medical institutions. Provide more accurate data support for the formulation of relevant health policies in Liaoning Province. METHODS: Based on the latest “Health Expense Accounting System 2011”, a description of the institutional allocation of medical expenses in Liaoning Province in 2014 was provided. Results: The total medical expenses in Liaoning Province in 2014 was 54.896 billion yuan, accounting for 75.41% of the total cost of regular health care, accounting for 1.92% of the GDP and 1 295.32 yuan per capita. The hospital spent the most medical expenses accounting for 85.03% The medical costs of primary medical and health institutions were less, accounting for only 1.39% of the total medical expenses. From the composition of inpatient fees and outpatient fees, it can be seen that the cost of hospitalization is much higher than that of outpatient services, accounting for 87.19%. Conclusion: The configuration of medical and health resources institutions is not reasonable enough and needs to be further optimized urgently. The problem of higher proportion of hospitalization expenses should be solved by designing a holistic control system.