Yassine Amal, Hangouche Abdelkader Jalil, El Malhouf Naoufel, Maarouf Siham, Taoufik Jamal
Laboratory of Therapeutic Chemistry, Faculty of Medicine and Pharmacy Rabat, Mohamed V University, Morocco.
National Agency of Health Insurance, Rabat, Morocco.
Pan Afr Med J. 2020 Apr 14;35:115. doi: 10.11604/pamj.2020.35.115.13076. eCollection 2020.
The health care consumption for the population insured by the Basic Health Insurance in Morocco are paid directly to the care providers for the health care or health products from the health insurance funds. The level of expenditure recorded is changing at an accelerated rate than the financial resources. The objective of this study is to evaluate the health care consumption care by the insured population under the Basic Health Insurance.
This is a cross-sectional study analysis of the economic data collected by the National Moroccan Health Insurance Agency Related to the expenditures from the health insurance fund for both public and private sectors to identify the behavior of the consumption of health care by the insured population under the Basic Health Insurance.
The medical expenditure of the covered population by the basic Health Insurance in Morocco has almost doubled from 354800 to 652500 US Dollars between 2009 and 2014 with significant increase in the public sector than the private sector. The share of expenditures in the public ambulatory care sector under Basic Health Insurance is higher relative to the hospital care. Although in the private sector the share of expenditures for both types of care varies. In 2014, the drug item expenditure accounted for 33% of Health Insurance expenses for both sectors. The level of health care consumption among the population in Long-Term Illness (LTI) represents 49,29% of the total expenditure by the Health Insurance whereas its insured covered population does not exceed 2,78%.
Controlling the medical expenditure of the health insurance requires strengthening and the development of regulatory measures that contribute to the health reforms. For chronic diseases, it is necessary to put in place prevention actions.
摩洛哥基本医疗保险覆盖人群的医疗保健消费由医疗保险基金直接支付给医疗服务提供者，用于支付医疗保健或医疗产品费用。记录的支出水平变化速度快于财政资源。本研究的目的是评估基本医疗保险覆盖人群的医疗保健消费情况。
这是一项横断面研究分析，对摩洛哥国家医疗保险机构收集的经济数据进行分析，这些数据与公共和私营部门医疗保险基金的支出有关，以确定基本医疗保险覆盖人群的医疗保健消费行为。
2009年至2014年期间，摩洛哥基本医疗保险覆盖人群的医疗支出几乎翻了一番，从354800美元增至652500美元，公共部门的增长幅度明显高于私营部门。基本医疗保险下公共门诊护理部门的支出份额相对于医院护理更高。尽管在私营部门，两种护理类型的支出份额有所不同。2014年，药品项目支出占两个部门医疗保险费用的33%。长期疾病患者群体的医疗保健消费水平占医疗保险总支出的49.29%，而其参保覆盖人群不超过2.78%。
控制医疗保险的医疗支出需要加强和制定有助于医疗改革的监管措施。对于慢性病，有必要采取预防行动。
