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Objective@#To study the distribution and related factors of curative care expenditure (CCE) of injury in Gansu Province in 2017.@*Methods@#Based on the "A System of Health Accounts 2011 (SHA 2011)", the curative care expenditure of injury in Gansu Province was calculated and analyzed. The five-stage stratified cluster sampling method was adopted to extract 149 medical and health institutions, 120 township hospitals (including community health service centers), 150 individual clinics and 600 village clinics (including community health service stations). The top-down allocation method was used to calculate the cost of injury treatment in Gansu Province, and the influencing factors were analyzed by multiple linear regression.@*Results@#In 2017, the CCE of injury in Gansu province was 3.831 billion yuan, and the expense in general hospitals was 2.708 billion yuan. Among them, the cost of lower limb injury and head injury were 1.090 and 0.847 billion yuan. People aged 40 to 69 years old spent 1.901 billion yuan on injury treatment, and the CCE of injury treatment for men and women were 2.422 and 1.409 billion yuan respectively. The results of multiple linear regression showed that hospitalization expenditure was significantly associated with length of stay, operation, hospital grade, age, payment method and gender (P<0.001).@*Conclusion@#The economic burden of injury in Gansu Province is relatively heavy, so it is necessary to focus on preventions for different groups and costly injury sites.
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Objective To describe and analyze the distribution of medical expenditure of Liaoning province in 2014 in terms of population beneficiary based on the System of Health Accounts 2011(SHA 2011).Methods By means of multistage and stratified sampling, a total of 252 medical institutions were selected from four cities in Liaoning province according to their economic status and geographical distribution.Macro data including the outpatient income and hospitalization income were taken into account, to calculate the beneficiary population of the province in 2014 according to SHA2011.Results GBD classification found that the highest medical expenditure category was non-communicable diseases, accounting for 63.02% in total medical expenditure.ICD classification found that respiratory disease as consuming the highest medical expenses (43.76%).The average medical expenditure of the elderly population was the highest per person, up to 3 041.70 yuan per person.Conclusions Medical expenses of non-communicable diseases, respiratory disease and elderly population were still high.Thus we need to emphasize disease prevention, and take efficient measures against such key diseases to curb the medical expenses.The elderly population calls for specific and effective measures to reduce their medical expenses.
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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.
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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.