Analysis on the Curative Care Expenditure of Cancer Patients before and after the Comprehensive Reform of"Medical-Pharmaceutical Separation"and"Linkage of Medical Consumption"in Beijing
- VernacularTitle:北京市"医药分开""医耗联动"综合改革前后肿瘤患者治疗费用分析
- Author:
Yue WANG
1
;
Ming WU
1
;
Xiaowei MAN
1
;
Liying ZHAO
1
;
Yan JIANG
1
Author Information
1. 北京中医药大学 北京 100029
- Publication Type:Journal Article
- Keywords:
A System of Health Accounts 2011(SHA 2011);
medical-pharmaceutical separation;
linkage of medical consumption;
tumor
- From:
Chinese Health Economics
2025;44(1):72-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the changes of the Curative Care Expenditure(CCE)of outpatient and inpatient among local cancer patients and foreign cancer patients before and after the comprehensive reform of medical-pharmaceutical Separation and linkage of medical consumption in Beijing.Methods:According to A System of Health Accounts 2011(SHA 2011),multi-stage stratified sampling and multi-stage stratified sampling were used to analyze the CCE of cancer patients in Beijing from 2016 to 2019.Results:Compared with 2016,the proportion of drugs in the CCE of local residents in secondary hospitals and tertiary hospitals in 2019 decreased by 8.62 and 9.26 percentage points,respectively,and the proportion of drugs in the CCE of foreign patients in secondary hospitals and tertiary hospitals decreased by 5.60 and 5.66 percentage points,respectively.The consumption of local and nonlocal patients in tertiary hospitals decreased by 6.89 and 8.86 percentage points.In Beijing,the proportion of outpatient services in local secondary hospitals for patients increased from 30.32%to 35.09%,and the proportion of inpatient services increased from 43.25%to 52.27%.The proportion of in-patient services in tertiary hospitals for patients with external medical treatment increased to 91.91%after the comprehensive reform of linkage of medical consumption.Conclusion:The comprehensive reform on drug standard and consumption proportion are remarkable,and the flow of patients from different sources of cancer was optimized by comprehensive medical reform,but it is necessary to strengthen the role of primary medical institutions in cancer prevention and treatment and focus on the medical burden of non-local patients in Beijing.
