Objective: The paper calculates and analyzes the scale, structure and the financing burden of potentially preventable hospitalization (PPH) expenditures for non-communicable diseases (NCDs) in 2018 in China, and analyzes the efficiency of medical resource allocation in China. Methods: Based on the System of Health Account and the scope of PPH diseases, the paper calculated and analyzed the scale, structure and financing burden of PPH expenditures for NCDs in China. Results: In 2018, the total expenditures of PPHs expenditures for NCDs were 169.51 billion yuan, accounting for 8.99% of total hospitalization expenditures, while the expenditures of basic medical insurance fund were 101.11 billion yuan, accounting for 10.46% of basic medical insurance fund for inpatient care. Over 70% of PPH expenditures for NCDs occurred in general hospitals, nearly 70% of PPH expenditures were caused by chronic obstructive pulmonary disease, diabetes, and hypertension, and people aged over 50 are the main consumers of PPH expenditures. In terms of financing burden, nearly one-third of PPH expenditures for NCDs were paid by individuals. Conclusion: The scale of PPH expenditures in China is large, PPH issue is serious, therefore we should increase interventions on major diseases and populations. PPH for NCDs in China consumed more public financing funds, and the burden on families is heavier. In the future we should learn from international experience to develop a PPH monitoring indicator system.
Key words
potentially preventable hospitalization expenditures /
the system of health account /
non-communicable diseases /
financing burden
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