“全面二孩”政策下四川省育龄妇女治疗费用分析:基于SHA 2011
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摘要
目的:基于2016年四川省育龄妇女治疗费用核算分析结果,为育龄妇女相关政策的制定提供参考依据。方法 :基于SHA 2011框架核算2016年四川省育龄妇女治疗费用总量、筹资方案、机构流向及人群分布等。结果:2016年四川省育龄妇女的治疗费用为353.33亿元,占四川省治疗费用的22.07%;筹资主要来源家庭卫生支出,为206.74亿元,占58.51%,从服务功能上看,门诊的家庭自付比例最高,占69.12%;2016年四川省育龄妇女发生在综合医院的治疗费用占比最高,占52.97%;治疗费用发生在45～49岁年龄段人群的占比最高,占20.76%;治疗费用居于第一位的是妊娠、分娩和产褥期相关疾病,占16.16%。结论:2016年四川省育龄妇女个人医疗负担较重,机构流向不合理,建议完善育龄妇女医疗保障,合理引导育龄妇女患者流向,加强育龄妇女重点疾病防治。
Objective: Based on Sichuan's analysis results of treatment costs for women of childbearing age in 2016, to provide references for the policy formulation for women of childbearing age. Methods: Based on the System of Health Account 2011(SHA2011) framework, it calculated the total cost, financing plan, institutional flow and population distribution of treatment for women of childbearing age in Sichuan in 2016. Results: In 2016, the treatment cost for women of childbearing age in Sichuan was 35.33 billion yuan, accounting for 22.07% of the treatment cost in Sichuan; the main financing source was household(20.674 billion yuan),accounting for 58.51%. From the perspective of service function, outpatients had the highest proportion of self-paying, accounting for69.12%; in 2016, women of childbearing age in Sichuan accounted for the largest proportion of treatment costs in general hospitals,accounting for 52.97%; treatment costs occurred in the 45～49 age group took the largest proportion, accounting for 20.76%; the highest treatment cost was pregnancy, childbirth and puerperal-related diseases, accounting for 16.16%. Conclusion: In 2016, women of childbearing age in Sichuan had a heavier personal medical burden and unreasonable institutional flows. It was recommended to improve the medical security for women of childbearing age, rationally guide the flow of women of childbearing age, and strengthen the prevention and treatment for the key diseases of women of childbearing age.
Objective: Based on Sichuan's analysis results of treatment costs for women of childbearing age in 2016, to provide references for the policy formulation for women of childbearing age. Methods: Based on the System of Health Account 2011(SHA2011) framework, it calculated the total cost, financing plan, institutional flow and population distribution of treatment for women of childbearing age in Sichuan in 2016. Results: In 2016, the treatment cost for women of childbearing age in Sichuan was 35.33 billion yuan, accounting for 22.07% of the treatment cost in Sichuan; the main financing source was household(20.674 billion yuan),accounting for 58.51%. From the perspective of service function, outpatients had the highest proportion of self-paying, accounting for69.12%; in 2016, women of childbearing age in Sichuan accounted for the largest proportion of treatment costs in general hospitals,accounting for 52.97%; treatment costs occurred in the 45～49 age group took the largest proportion, accounting for 20.76%; the highest treatment cost was pregnancy, childbirth and puerperal-related diseases, accounting for 16.16%. Conclusion: In 2016, women of childbearing age in Sichuan had a heavier personal medical burden and unreasonable institutional flows. It was recommended to improve the medical security for women of childbearing age, rationally guide the flow of women of childbearing age, and strengthen the prevention and treatment for the key diseases of women of childbearing age.
引文
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[2]庄渝霞.生育医疗待遇:政策演变、人群差异及优化策略[J]社会科学,2017(12):79-88.
[3]张翠娥,杨政怡.我国生育保险制度的发展历程与改革路径--基于增权视角[J].卫生经济研究,2013(1):23-27.
[4]冯宁.由国际实例谈中国性与生殖健康政策框架的建立[J]中国妇幼健康研究,2014,25(5):908-912.
[5]Asian Development Bank.Health sector reform in Asia and the Pacific.Options for developing countries[R].Manila:Asian Development Bank,1999.
[6]彭志强,唐燕飞,刘秋英.中山市大涌镇青岗社区家庭医生服务签约情况及有效签约方式探讨[J].中国全科医学,2017(33):4100-4104.
[7]许瑾瑾,张玉霞.2011-2015年深圳市光明新区适龄女性两癌筛查情况及防治对策[J].中国妇幼保健,2017,32(10)2168-2171.