2008 In Heilongjiang Province, Medical Costs Estimates

Objective:In this research, using data from The Fourth National Health Services Survey and Heilongjiang annual health finance reports in 2008,to analyze the distribution of medical cost among age,gender and disease,and make contrast with the data in 2003. According to the results,identify the key crowd, the key disease and the key age of disease control and prevention in Heilongjiang Province,improving the efficience and fairness of the use of health resources.Methods:I use top-down and Two-step Model to account medical cost.Results:1.Medical cost of Heilongjiang grows fast,but there is still some gap compared with the national standard in per capita level.Eliminating the factors of inflation,according to constant prices in 2005,the medical cost in 2008 increased by 1.59 times above 2003,0.84 percentage higher than the growth rate of GDP in Heilongjiang in the same period.Heilongjiang has made a great progress in health care development during the past five years,and per medical cost has rosed from 225.10 Y in 2003 to 636.20￥in 2008,increasing by 1.8 times,but still below the national level,937.42 Y in 2008,which is 1.5 times of Heilongjiang.2.The gap in medicl cost between urban area and rural area has reduced,but rural capita is still lower than the city.Compared with 2003,treatment rates in two weeks and Annual hospitalization rates in rural has increased significantly,no significant difference between urban and rural areas,but per medical costs in the city is 1.45 times of the rural area.The gap in per outpatient cost is larger,the city is 1.88 times of the rural, so there is still much work to do about rural social security in Heilongjiang.3.The trend of population aging will increase disease financial burden in HeilongjiangThe population above 65 years old in Heilongjiang accounts for 7.73% of the entire province,but the medical cost accounts for 20%.Disease of the highest incidence in the elderly people is circulatory system, respiratory system, digestive system,of which the treatment costs usually is very high.According to the accounting results,the medical needs of elderly population above 65 in rural are inhibited,and aging trend is inevitable,along with expansion of medical costs,the disease financial burden shall be increased. 4. Chronic non-communicable diseases are the focus of disease control in Heilongjiang Province.The priorities of disease prevention and control is the same in the urban and the rural.In addition,the health care of childbearing age women in the rural should be paid more attention.5.The priorities of disease prevention and control in different age group are differentAccording to the accounting results, the diseases prevention and control in different age group are different,and different diseases have different target people.6.The priorities of disease prevention and control are different between male and female.The money of the urban and rural male residents spend in injury and poisoning accounted for 14% and 16% of their male residents'total medical cost.Injury and poisoning are one of the male's key disease prevention and control.7.The allocation of health resources is not very reasonable.Advices:1.The key diseases in Heilongjiang are diseases of circulatory system, respiratory system, digestive system, injury and poisoning, urinary system.In addition, pregnancy disease is also the priority disease in rural area.2.Raise the level of social protection of rural residents,and improve the rural social security system.3.Cogent the propagandist strength to enhance health prevention and treatmrnt knowledge, and ability of ego health care and consciousness.4.According to the characteristics of different ages to take targeted,preventive health measures.5.Workers of dangerous industry should make well preventive measures.6.Primary health institutions and diseases preventions centers should get more health resources,and the allocation of health resources must be adapted for the actual needs of the residents and changes in desease patterns,reducing the waste of health resources.