The burden of the current curative expenditure of injury in Dalian, China-A study based on “System of Health Accounts 2011”
Abstract Background: Injury is one of the major public health problems, which causes more than 5 million deaths in the world every year. Cases of specific types of injury put a great threat to human health and also add a heavy medical burden on individuals and societies. This study is aimed at assessing the financial burden of injury on patients. Methods: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 152553 valid samples. Subsequently, the distribution of injury current curative expenditure (CCE) in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011(SHA 2011) using the established database. Results: In China, from 2006 to 2016, both urban and rural injury mortality rates showed an upward trend of more than 5 percentage points. In Dalian, the CCE of injury had reached 1572.73 million RMB, accounting for 7.45% of the total curative care expenditure. In the 15-24 age group, the cost of injury accounts for a larger proportion of CCE than other age groups. Among the injuries in different regions of the body, injuries to the spine, lower limb, head and foreign body entering cost the most.Conclusions: Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost. Young people in daily life and work should pay attention to protect their head and limbs from injury, the corresponding units should also do a good job in prevention.