Analysis on Avoidable Hospitalization in Shenzhen Based on the Health Accounting SHA 2011
- VernacularTitle:基于"卫生费用核算体系2011"的深圳市可避免住院研究
- Author:
Ying HOU
1
;
Liqun WU
;
Huatang ZENG
Author Information
1. 深圳市卫生健康发展研究和数据管理中心 广东 深圳 518028
- Keywords:
avoidable hospitalization;
Shenzhen;
the System of Health Accounts 2011
- From:
Chinese Health Economics
2024;43(5):58-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To estimate the scale,expenditure and financing structure of potentially preventable hospitalization(PPH)for diabetes in Shenzhen,and provide data support for improving the utilization efficiency of medical and health resources.Methods:The System of Health Account 2011 was used to calculate the status of PPH for diabetes in Shenzhen and its cost scale and structure.Results:In 2019-2022,there will be a total of 441 426 avoidable hospital admissions for diabetes,hypertension,angina,influenza and pneumonia and dehydration and gastroenteritis,which cumulatively account for approximately 70.00%of admissions.The cost of hospitalization could be avoided by 525 028.06 million yuan,accounting for 6.18%of the total costs.The out-of-pocket costs were 1 762.724 4 million yuan,accounting for 33.57%of the total avoidable hospitalization costs.The out-of-pocket payment of angina pectoris,gangrene and rheumatic heart disease were higher and the proportion of out-of-pocket costs was larger.Conclusion:The large scale of hospital can be avoided in Shenzhen,and the waste of medical resources caused by unreasonable hospitalization is serious.The level of primary health care should be improved,the behavior of doctors should be regulated,the role of intervention in diseases of key populations should be increased,and the system of reimbursement of health insurance should be optimized.
