基于“SHA2011”北京市不同来源老年人口治疗费用受益人群研究.docxVIP

《中国卫生经济》第42卷 第6期（总第484期）2023年6月 □ 卫生筹资?HEALTHFINANCING 基于“SHA2011”北京市不同来源老年人口 治疗费用受益人群研究* 蒋 艳① , 满晓玮① , 赵丽颖① , 曹桑蔚① , 程 薇① 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 中图分类号 R1-9；F014.4 文献标志码 A 文章编号 1003-0743（2023）06-0046-05 AStudy AStudy of the Beneficiary Population of Curative Care Expenditure for the Elderly Population from Different Sources in Beijing:Based on “SHA2011”/JIANGYan, MANXiao-wei, ZHAOLi-ying, et al.//Chinese Health Economics， 2023,42 (6):46-50 Abstract Objective:Beijing has entered a moderately aging society. It provided data support to improve the accuracy and scien\ tific of health policies for the elderly population in the capital by exploring the current situation of the beneficiary population of cura\ tivecare expenditure(CCE)for the elderly population in Beijing from different sources. Methods:Atotal of52hospitals and29com\ munities were selected as samples through a multi-stage stratified whole-group sampling survey. System of Health Accounts2011 (SHA2011)was used to calculate theCCEof elderly patients in medical institutions of Beijing. Results:TheCCEof elderly patients in Beijing was98.232billion yuan, accounting for39.78% , of which81.19% was consumed by local residents in2019. 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 CCEbetween the ages of60and 70accounting for more than60% of the total. Elderly patients w