2005年和2009年全国CT、MRI检查总费用估算与分析

目的：估算2005年和2009年全国电子计算机X射线断层扫描技术（CT）、核磁共振成像（MRI）检查总费用及其占卫生总费用的比重,为CT、MRI设备的规划和费用控制提供决策依据。方法：对上海、陕西、湖南和浙江4个省市的二、三级医院进行抽样调查,获得其2005年和2009年CT、MRI服务相关数据,所有数据都由Epidata 3.1进行录入,Excel 2007进行统计分析。结果：2005和2009全国CT检查总费用分别为：123.43亿元和248.99亿元,占卫生总费用的比例分别为1.43%和1.45%;MRI检查费用分别为45.44亿元和96.14亿元,占卫生总费用的比例分别为,0.52%和0.56%。结论：2005年至2009年全国CT、MRI检查费用增长比较迅速,但是其占卫生总费用的比例变化不大,并不能认为检查费用的增长加重了患者的经济负担。

Estimation and analysis of the total expenditure of CT and MRI examination services in 2005 and 2009

Objective： To estimate the total expenditure of CT and MRI examination services and their proportions in the national total health expenditure in 2005 and 2009 and provide basis for the CT,MRI allocation and expenditure control.Methods： By sampling the secondary and tertiary hospitals in Shanghai,Shaanxi,Hunan and Zhejiang,the data of CT and MRI examination services of these areas were obtained in 2005 and 2009.Epidata 3.1 was used for data entry and Excel 2007 was used for statistical analysis.Results： The total expenditure of CT examination services in 2005 and 2009 was 12.34 billion and 24.90 billion and their proportions in the national total health expenditure were 1.43% and 1.45%.The total expenditure was 4.54 billion and 9.61 billion for MRI examination,with the proportions of 0.52% and 0.56% respectively.Conclusion： The total expenditure of CT and MRI examination services increased relatively fast from 2005 to 2009,but their proportions in the national total health expenditure almost remained the same,so it can not be concluded that the growth of total expenditure of CT and MRI examination services increased the financial burden of patients.