Vela Emili, Clèries Montse, Vella Vincenzo Alberto, Adroher Cristina, García-Altés Anna
Servei Català de la Salut, CatSalut, Barcelona, España.
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, España.
Gac Sanit. 2019 Jan-Feb;33(1):24-31. doi: 10.1016/j.gaceta.2017.05.017. Epub 2017 Nov 10.
To analyse the distribution of the expenditure according to the healthcare services and characteristics of patients, using the microdata of the Catalan population's use of healthcare services.
A fee or an indirect cost has been applied to all healthcare activities financed by CatSalut during 2014, computing the health expenditure made up by each person and adding it all up for the inhabitants of Catalonia (Spain).
The sum of the healthcare expenditure made by all the inhabitants of Catalonia represents 97.0% of the CatSalut budget. Half of the population accounts for 3.6% of total healthcare expenditure (71€ per person); 1% of the population spends 23% of the expenditure (22,852€ per person). The highest average expenditure, in both women and men, occurs between the age of 80 and 89. The population with a chronic disease has an average annual expenditure of 413€, with 5 of 2,413€, and 10 of 9,626€. The average cost varies according to pathologies, from 2,854€ in patients with severe depression to 8,097€ in patients with HIV-AIDS.
The results are extremely useful for healthcare planning and for the prioritization of health policy interventions in groups with most needs.
利用加泰罗尼亚人口医疗服务使用情况的微观数据，分析医疗支出按医疗服务和患者特征的分布情况。
对2014年由加泰罗尼亚卫生服务局（CatSalut）资助的所有医疗活动应用费用或间接成本，计算每个人的医疗支出，并将其加总得到加泰罗尼亚（西班牙）居民的总支出。
加泰罗尼亚所有居民的医疗支出总和占加泰罗尼亚卫生服务局预算的97.0%。一半人口占总医疗支出的3.6%（每人71欧元）；1%的人口花费了23%的支出（每人22,852欧元）。男女平均支出最高的年龄段在80至89岁之间。患有慢性病的人群年均支出为413欧元，其中5%的人群支出为2,413欧元，10%的人群支出为9,626欧元。平均成本因疾病而异，重度抑郁症患者平均成本为2,854欧元，艾滋病患者平均成本为8,097欧元。
这些结果对于医疗规划以及确定最需要人群的卫生政策干预重点极为有用。
