ABSTRACT
Objective:To explore the curative care expenditure of the elderly(above 65 years old) in Jilin based on analyzing the economic burden of the elderly.Methods:Based on the System of Health Accounts 2011(SHA2011).it estimated the total curative care expenditure and constitute of the elderly in Jilin.Results:In 2014,the curative care expenditure of the elderly in Jilin reached to 12.85 billion yuan,which accounted for 26.26％ of curative care expenditure of the total population in Jilin.The per capita curative care expenditure of the elderly was 3.01 times of the per capita curative care expenditure of the 0-14 year-old group,2.87 times of the per capita curative care expenditure of the 15-64 year-old group and 2.39 times of the overall per capita curative care expenditure of residents in Jilin.From the perspective of service composition,the elderly treatment costs occurred more in the hospital with the increase in age.From the perspective of disease costs,the elderly treatment costs mainly occurred in the circulatory system diseases,respiratory diseases,cancer and other chronic diseases.The household out-of-pocket (OOP) accounted for 41.83％ in curative care financing for the elderly.Conclusion:The constitute of the curative expense of the elderly in Jilin province had significant characteristics,showed as heavy OOP burden.It needed to provide policy support.
ABSTRACT
Objective:To comprehensively analyze the present situation and characteristics otthe curative care expenditure of chronic diseases in Jilin,and to provide data support and suggestions for health policy formulation.Methods:The System of Health Accounts 2011 (SHA2011) was used to analyze the total and composition of curative care expenditure of non-communicable chronic diseases in Jilin province.Results:In 2014,the curative care expenditure of chronic diseasesin Jilin province reached to 32.02 billion yuan,which accounted for 65.51％ of curative care expenditureof the all diseases in Jilin.From the perspective of disease costs,the curative care expenditure of chronic diseases occurred in cardiovascular disease,malignancy and other chronic diseases reachedto 66.22％.From the perspective of service composition,the curative care expenditure ofchronic diseases except oral disease occurred more in the hospital.From the perspective of medical institutions costs,thecurative care expenditureof chronic diseases occurred in urban medical institutions reached to 65.83％.From the perspective of care financing,the household out-of-pocket (OOP) accounted for 41.77％of curative care financing forchronic diseases in Jilin.Condusion:Thecurative care expenditureof chronic diseases in Jilin had a large scale.The distribution of medical institutions costsof chronic diseases showed as "inverted triangle" in Jilin.The financing structure of thecurative care expenditureof chronic diseases needed to be improved.
ABSTRACT
Objective:To comprehensively analyze the present situation and characteristics otthe curative care expenditure of chronic diseases in Jilin,and to provide data support and suggestions for health policy formulation.Methods:The System of Health Accounts 2011 (SHA2011) was used to analyze the total and composition of curative care expenditure of non-communicable chronic diseases in Jilin province.Results:In 2014,the curative care expenditure of chronic diseasesin Jilin province reached to 32.02 billion yuan,which accounted for 65.51％ of curative care expenditureof the all diseases in Jilin.From the perspective of disease costs,the curative care expenditure of chronic diseases occurred in cardiovascular disease,malignancy and other chronic diseases reachedto 66.22％.From the perspective of service composition,the curative care expenditure ofchronic diseases except oral disease occurred more in the hospital.From the perspective of medical institutions costs,thecurative care expenditureof chronic diseases occurred in urban medical institutions reached to 65.83％.From the perspective of care financing,the household out-of-pocket (OOP) accounted for 41.77％of curative care financing forchronic diseases in Jilin.Condusion:Thecurative care expenditureof chronic diseases in Jilin had a large scale.The distribution of medical institutions costsof chronic diseases showed as "inverted triangle" in Jilin.The financing structure of thecurative care expenditureof chronic diseases needed to be improved.