Estimation Analysis On Health Expenditure Of Diabetes In Shandong Province Based On The System Of Health Accounts 2011

BackgroundDiabetes is currently one of the most important diseases threatening human health.In recent years,the prevalence of diabetes in my country has been increasing.This not only brings great pain to diabetic patients,but also brings great difficulties to patients’families.Bring a heavy burden of disease to society.A full understanding of the current status of diabetes treatment costs is an important prerequisite for prevention and promotion of population health,and it is also the basis for effective reduction of treatment costs for diabetes patients.ObjectivesThe purpose of this study is to analyze the cost of diabetes treatment in Shandong Province in 2018 from the perspective of the cost of diabetes,and evaluate diabetes and its complications from the aspects of service function,institutional flow,financing plan,and beneficiary population.The occurrence of treatment costs can not only understand the total scale of diabetes treatment costs in Shandong Province from a macro perspective,but also quantify,analyze and compare the internal structure of the costs from a micro perspective,so as to formulate diabetes medical security policies and diabetes prevention plans.Provide data support to provide reference for the formulation and evaluation of health policies for diabetes prevention and treatment in Shandong Province.MethodsThis study adopted a multi-stage stratified random sampling method,and selected outpatient and inpatient expenses data of different types of health institutions at different levels in Shandong Province.The analysis of the data is based on the framework of the "SHA2011 Health Expenditure Accounting System",which analyzes the status of the treatment costs of diabetes and its complications in Shandong Province in 2018 from the aspects of service functions,institutional distribution,funding sources,and beneficiaries.ResultsIn 2018,the total cost of diabetes treatment in Shandong Province was 9,169,941,200 yuan.In terms of service function distribution,75.13%is used for outpatient services and 24.87%is used for hospitalization;from the perspective of funding sources,it is mainly obtained from public financing programs(68.41%)and household health expenditures(30.23%);from the perspective of institutional flow,diabetes medical expenses are mainly incurred in hospitals(71.18%),while grassroots medical and health institutions(16.35%),outpatient institutions(10.66%),and public health institutions(1.81%)have a relatively low share of medical expenses;from the perspective of the beneficiaries,medical care expenses are mainly concentrated in people aged 60-74,accounting for 45.45%.In the cost accounting of different complications of diabetes,the treatment cost of hypertension and diabetes comorbidities is the highest,and the treatment cost of diabetes complicated with spinal cord injury is the lowest.ConclusionShandong Province currently needs to improve the primary medical and health service system,and at the same time strengthen the public health service system and capacity building.Second,the financing structure needs to be optimized,and the proportion of household health expenditures is relatively high.Government investment and social financing should be increased,and the medical security system should be continuously improved.In addition,diabetes complications are mainly seen in people between 60 and 75 years old.The main complications are different in different age groups.The relevant departments need to formulate targeted prevention and health education strategies.