基于机构流向法的全国中医药总费用变化趋势及流向分析
Trend and Flow Analysis of the Total Cost of Traditional Chinese Medicine in China Based on the Institutional Flow Approach
田雪云 1王智 1肖珊珊 1代紫璇 1杨梓 1齐思佳 1满晓玮1
作者信息
- 1. 北京中医药大学管理学院 北京 102488
- 折叠
摘要
目的:分析2016-2021年全国中医药总费用总量、发展变化及流向趋势,研究不同医疗机构中医药总费用分配总额及流向变动情况,为我国中医药高质量发展提供有力支撑.方法:采用机构流向法和个案库汇总法进行中医药总费用核算.结果:2016-2021年全国中医药总费用流向中医类医院的总量最高,基层医疗卫生机构中医药总费用占比增加,中医类诊所和门诊部得到较快发展.中医药药品费用占中医药总费用的比重有所下降,县医院占其卫生总费用的比重整体上升.结论:未来应加大对中医的投入,重视非中医类医院中医服务发展,提升基层中医药服务能力,保持中医类诊所和门诊部的快速发展;应凸显中医技术的劳务价值,充分发挥县医院的带动作用.
Abstract
Objective:To analyze the total expendition,developmental changes and flow of the total cost of traditional Chinese medicine(TCM)in China from 2016 to 2021,and to study the development of the total cost of TCM in different medical institutions.Methods:Institutional flow method and case-base aggregation method were used to account for the total TCM costs.Results:From 2016 to 2021,the total amount of total TCM costs flowed to TCM-type hospitals was the highest in China,the proportion of total TCM costs in primary healthcare organizations was increased,and TCM-type clinics and outpatient clinics were developed more rapidly.The share of Chinese medicine drug costs in total Chinese medicine costs has been declined,and the share of county hospitals in their total health costs has been risen overall Conclusion:In the future,it would increase the TCM investment,attach importance to the development of TCM services in non-Chinese medicine hospitals,improve the capacity of primary Chinese medicine services,continue to consolidate the policy of"strengthening the primary",and maintain the rapid development of Chinese medicine clinics and outpatient clinics;the value of Chinese medicine technical labor should be emphasized,and the driving force of county hospitals should be brought into full play.
关键词
中国/中医药总费用/变化趋势/机构流向法Key words
China/total cost of Chinese medicine/trend/institutional flow approach引用本文复制引用
基金项目
2021年中医药总费用核算及政策分析(GHC-2022-ZFGM-009)
出版年
2024
NETL
NSTL
万方数据