The Study On The Estimation Of Curative Care And Preventive Care Expenditure In Medical Institutions In Anhui Province

Purpose In order to reflect the specific flow of total health expenditure(T HE) in Anhui Province, investigate the characteristics of prevalence of residents in Anhui Province and determine the priorities of disease control, this study esti mates curative care and preventive care expenditure in Anhui Province in 2014.Obtaining the distribution of expenditure among different ages and diseases.Through th e analysis which based on the calculated results, we have provided corresponding sugge stions which will be helpful to promote the combination of theoretical research and prac tice and improve the network construction in health expenditure account in Anhui Provi nce.Methods Using reference data from Anhui Statistical Yearbook(2014), Anhui H ealth Finance Yearbook(2014) and selected institutions from Anhui Province, standardiz e the these prevention and treatment data using SPSS and Stata, separately.By using th e statistical data in the current Health Finance Yearbook to total control, the data obtaine d through the sampling survey can be used as the parameter of allocation, and the expen diture of different service functions can be decomposed into different accounting dimen sions.Result 1 The preventive care expenditure in general hospital in Anhui province is651.03 million Yuan in 2014, among them, the government project expenditure subsidies is 0.64 million Yuan, fee income is 643.34 million Yuan, basic expenditure subsidies is 7.05 million Yuan. The basic expenditure subsidies mainly used for environmental health, fee income is mainly used for the management of severe mental disorders.2 The preventive care expenditure of Hospital of traditional Chinese Medicine inAnhui province is 780.51 million Yuan, among them, the government project expenditure subsidies is 56.77 million Yuan, fee income is 68.11 million Yuan, basic expenditure subsidies is 148.09 million Yuan, funds raised by institutions is 507.54 million Yuan. The basic expenditure subsidies mainly used in prevention of chronic disease, funds raised by institutions in prevention and control of chronic disease is the highest.3 The preventive care expenditure in specialized hospital in Anhui province were0.34 million Yuan in tumor hospital, 13.39 million Yuan in chest hospital, and 37.91 million Yuan in Children’s Hospital.4 In 2014, Top 4 of the expenditure of treatment in provincial hospital in Anhui province were tumor, circulatory system disease, respiratory system diseases and digestive system diseases, accounting for 51.90%. Respiratory system disease was highest in 5-9 years old group, tumor, digestive system disease and endocrine,nutritional and metabolic diseases were highest in 60-64 years old. Treatment expenditure and hospitalization expenditure were highest in 65-69 years old age group.5 Treatment expenditure in Hospital of traditional Chinese medicine in Anhui province according to age and ICD-10, displays in 21 kinds of groups by disease,circulatory system disease was 987.98 million Yuan, the highest, accounting for 15.69%of all diseases. The expenditure of infectious diseases, maternal, perinatal, and nutrition disease decreased, with age group increased; but the non communicable diseases gradually increased in expenditure.Discussion and Suggestion 1 We need to optimiza and adjust structure of financing: the government health investment needs to be strengthened, the financing channels of social health need to be broaden, and the personal health expenditure needs to be controlled.2 The phenomenon of " attach importance to treatment, neglect prevention " should be improved: the treatment services consume too much resources, strengthen the healthintervention to special populations; strengthen the investment in prevention services and improve the public health service system.3 Reduce the economic burden in groups with chronic diseases: improve medical security system; improve the management mode of chronic diseases, enhance the role of public health institutions in the prevention and control of chronic diseases.4 Promote the combination of health care and pension services: establish policy system of a combination of medical care and pension services, formate an entire service model which medical institutions link with the various pension institutions and home care.