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我国心理与精神障碍疾病治疗费用和经济负担分析

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目的:核算我国心理与精神障碍疾病治疗费用规模,分析筹资结构,为优化我国心理与精神障碍疾病筹资和防控政策提供决策依据.方法:基于"卫生费用核算体系 2011"核算我国2018年心理与精神障碍治疗费用,分析服务功能分布、机构流向和筹资负担等.结果:2018年我国心理健康与精神障碍治疗费用达871.68亿元,其中84.00%发生在医院,66.00%以上发生在住院.从筹资构成看,治疗费用中家庭卫生支出占比为31.80%.结论:我国心理与精神障碍治疗费用发展快速,现有资源配置不合理,需要优化功能与机构配置,治疗费用中居民个人付费水平较高,筹资政策需要进一步完善及优化.
An Analysis of the Curative Expenditure and Economic Burden of Mental Health and Mental Retardation Disorders in China
Objective:To calculate the scale of China's mental health treatment costs,analyze its financing structure,and provide a decision-making basis for optimizing China's mental health disease financing,prevention and control policies.Methods:System of Health Account 2011 was employed to calculate mental disorders(MDs)curative expenditure,and analyze the expenditure by health function,health provider and financing schemes.Results:In 2018,MDs curative expenditure in China was 87.17 billion yuan.Of MDs curative expenditure,over 84%occurred in hospitals,and over 66%was spent on inpatient care.31.80%of MDs curative expenditure was financed by Out-of-Pocket(OOP).Conclusion:China's mental health and mental disorders treatment costs are developing rapidly,the existing resource allocation is unreasonable,and there is an urgent need to optimize the function and institutional configuration.MDs patients and their families bare a high burden on MDs curative expenditure,and the financing policy needs to be further improved.

mental health and disordercurative expenditurefinancing burdenSystem of Health Accounts 2011

王力、柴培培、万泉、高文斌

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中国科学院心理研究所 北京 100101

中国科学院大学心理学系 北京 100101

国家卫生健康委卫生发展研究中心 北京 100191

心理与精神障碍疾病 治疗费用 经济负担 卫生费用核算体系2011

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(2)
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