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目的:综合分析吉林省老年人治疗费用,以了解老年人(≥65岁)直接疾病经济负担情况。方法:基于卫生费用核算体系2011,核算分析吉林省老年人治疗费用总量及构成。结果:2014年吉林省老年人治疗费用总量达到128.46亿元,占全人群治疗费用的26.26%,其人均治疗费用是0~14岁人群的3.01倍,是15~64岁人群的2.87倍,是吉林省全人群的2.39倍。从服务构成角度,随年龄增加,老年人治疗费用更多的消耗在住院,从病种费用角度,老年人治疗费用主要集中在循环系统疾病、呼吸系统疾病及肿瘤等慢性疾病。老年人治疗费用中家庭卫生支出(自费)的比例达到41.83%。结论:吉林省老年人治疗费用构成特点显著,自费负担重,应有针对性的提供政策支持。
OBJECTIVE: To comprehensively analyze the treatment costs of the elderly in Jilin Province so as to understand the economic burden of the direct disease in the elderly (≥65 years). Methods: Based on the health cost accounting system 2011, the total amount and composition of the elderly treatment costs in Jilin Province were calculated and analyzed. Results: The total cost of treatment for the elderly in Jilin Province reached 12.446 billion yuan in 2014, accounting for 26.26% of the whole population. The per capita treatment cost was 3.01 times of the population aged 0-14 years and 2.87 times of the population aged 15-64 years. 2.39 times the entire population in Jilin Province. From the point of view of service composition, with the increase of age, the treatment cost of the elderly is more consumed in hospitalization. From the perspective of the cost of the disease, the treatment costs of the elderly are mainly concentrated in chronic diseases such as circulatory system diseases, respiratory diseases and tumors. The proportion of elderly people in the family health expenditure (at their own expense) treatment costs reached 41.83%. Conclusion: The cost of treatment for seniors in Jilin Province is characterized by significant characteristics and heavy burden at their own expense, and should provide targeted policy support.