摘要
目的测算北京市老年疾病医疗服务模式的成本,为经济学分析与评价提供数据支持,并为政府制定预算补助和医疗服务收费标准提供依据。方法 2010年10月—2011年3月采用文献研究、问卷调查和访谈收集成本数据,通过非参与式观察确定医务人员有效工作时间。结果老年疾病医疗服务模式实际服务一个老年人每年需要的成本为183.67元,预期推广后的成本参考值为133.58元。结论准确的成本测算有助于确定合理的政府补偿标准,促进社区卫生服务机构提供良好的公共卫生服务。
Objective The aim of our study was to estimate the cost of the elderly's health care model so as to bring data support for later economic analysis and evaluation and provide evidence for government to measure the budgetary subsidies and medical service prices. Methods The cost data were selected by the ways of literature study,questionnaire survey and interview in October 2010 and March 2011. The efficient working hours of medical personnel were determined via non-participant observation. Results It cost about 183. 67 yuan for each elderly receiving health care service per year under the present model. The expected reference value of standard item cost after popularization would be 133. 58 yuan. Conclusion Accurate cost estimation can give a solid basis for policymakers to make an acceptable compensation standard and promote community health service institutions to provide better public health services.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第13期1470-1473,共4页
Chinese General Practice
基金
北京市科学技术委员会--北京老年疾病医疗服务模式研究(D07050701130703)