| 引用本文: |
湛欢,黄丽婷,周良荣,吴琼.2015-2017年湖南省医疗卫生机构中草药费用分析[J].湖南中医药大学学报,2019,39(12):1543-1548[点击复制] |
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| 2015-2017年湖南省医疗卫生机构中草药费用分析 |
| 湛欢,黄丽婷,周良荣,吴琼 |
| (湖南中医药大学人文与管理学院, 湖南 长沙 410208) |
| 摘要: |
| 目的 通过核算分析湖南省医疗卫生机构中草药费用规模及分布，摸清湖南省中草药利用现状及问题。方法 收集2015-2017年卫生统计数据进行中草药费用规模测算及机构流向分析，通过分层多阶段抽样获取241家医疗卫生机构门诊、住院数据分析中草药受益人群情况。结果 2015-2017年，发生在湖南省医疗卫生机构内的中草药费用分别为27.94亿元、29.87亿元、34.88亿元，占总药品费用比重均不到10%；中草药费用主要流向中医医院和基层医疗机构；从受益人群看，中草药主要用于老年人群及慢性疾病人群的治疗。结论 湖南省中草药费用规模较小且增速慢，中医文化氛围培育有待加强；中医类医院药品费用中中草药占比低，西化问题亟待解决；中草药在重点疾病治疗中利用率不高，中医药特色优势有待发挥；中草药使用人群分布不均衡，全人群健康干预功能有待加强。 |
| 关键词: 中草药 医疗卫生机构 药品费用 |
| DOI：10.3969/j.issn.1674-070X.2019.12.027 |
| 投稿时间：2019-08-06 |
| 基金项目:湖南省教育厅科研计划项目（18C0363）；湖南省卫生健康委员会项目（WXT201804）。 |
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| Analysis of Chinese Herbal Medicine Expenses in Medical and Health Institutions of Hunan Province |
| ZHAN Huan,HUANG Liting,ZHOU Liangrong,WU Qiong |
| (School of Humanities and Management, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To find out the current situation and problems of the utilization of Chinese herbal medicine in Hunan Province by accounting and analyzing the scale and distribution of Chinese herbal medicine expenditure in medical and health institutions. Methods Health statistics from 2015 to 2017 were collected to calculate the scale of Chinese herbal medicine expenditure and to analyze the organization flow. Through stratified multi-stage sampling, 241 outpatient and inpatient data of medical and health institutions were collected to analyze the situation of Chinese herbal medicine beneficiaries. Results From 2015 to 2017, the expenditure of Chinese herbal medicine in Hunan medical and health institutions was 2.794 billion, 2.987 billion, 3.488 billion RMB respectively, accounting for less than 10% of the total drug expenditure; the expenditure of Chinese herbal medicine was mainly directed to hospitals of traditional Chinese medicine and primary medical institutions; from the perspective of beneficiaries, the expenditure of Chinese herbal medicine was mainly used for the groups of elderly and chronic diseases. Conclusion The scale of Chinese herbal medicine expenditure in Hunan Province was small and the growth rate was slow, and the cultivation of traditional Chinese medicine culture environment needs to be strengthened; the proportion of Chinese herbal medicine in medicine expenditure in traditional Chinese medicine hospitals was low, and the westernization problem needs to be solved urgently; the utilization rate of Chinese herbal medicine in the treatment of key diseases was not high, and the advantages of traditional Chinese medicine characteristics need to be brought into full play; the distribution of Chinese herbal medicines users was unbalanced, and the whole population health intervention function needs to be strengthened. |
| Key words: Chinese herbal medicine medical and health institutions drug expenditure |
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