{"id":17230,"date":"2026-06-25T12:24:58","date_gmt":"2026-06-25T04:24:58","guid":{"rendered":"https:\/\/globalhealth.dukekunshan.edu.cn\/?post_type=calab-pub&p=17230"},"modified":"2026-06-26T12:15:42","modified_gmt":"2026-06-26T04:15:42","slug":"current-status-and-exploration-of-relief-strategies-for-the-economic-burden-and-financial-difficulties-of-cancer-patients","status":"publish","type":"calab-pub","link":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/calab-publication\/current-status-and-exploration-of-relief-strategies-for-the-economic-burden-and-financial-difficulties-of-cancer-patients\/","title":{"rendered":"\u764c\u75c7\u75c5\u4eba\u7ecf\u6d4e\u8d1f\u62c5\u548c\u8d22\u52a1\u56f0\u5883\u7684\u73b0\u51b5\u4e0e\u7ebe\u56f0\u7b56\u7565\u63a2\u7d22"},"content":{"rendered":"\n

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\n\n\n\n

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\u5c3d\u7ba1\u6211\u56fd\u5df2\u5efa\u7acb\u57fa\u672c\u533b\u4fdd\u3001\u5927\u75c5\u4fdd\u9669\u3001\u533b\u7597\u6551\u52a9\u548c\u5546\u4e1a\u5065\u5eb7\u4fdd\u9669\u5171\u540c\u53c2\u4e0e\u7684\u591a\u5c42\u6b21\u4fdd\u969c\u4f53\u7cfb\uff0c\u6269\u5c55\u4e86\u4eff\u5236\u836f\u3001\u521b\u65b0\u836f\u7684\u533b\u4fdd\u8986\u76d6\uff0c\u4f46\u9762\u5bf9\u764c\u75c7\u957f\u671f\u3001\u9ad8\u989d\u548c\u590d\u6742\u7684\u533b\u7597\u652f\u51fa\uff0c\u73b0\u6709\u4fdd\u969c\u6c34\u5e73\u5c24\u5176\u5bf9\u519c\u6751\u548c\u5176\u4ed6\u5f31\u52bf\u7fa4\u4f53\u7684\u7ecf\u6d4e\u98ce\u9669\u4fdd\u62a4\u4ecd\u5b58\u5728\u660e\u663e\u4e0d\u8db3\u3002<\/strong><\/p>\n\n\n\n

   \u9996\u5148\uff0c\u57fa\u672c\u533b\u4fdd\u7684\u4fdd\u969c\u6c34\u5e73\u5b58\u5728\u4eba\u7fa4\u548c\u5730\u533a\u5dee\u5f02\u3002<\/strong>\u4e00\u65b9\u9762\uff0c\u57ce\u4e61\u5c45\u6c11\u533b\u4fdd\u7684\u4fdd\u969c\u529b\u5ea6\u660e\u663e\u5f31\u4e8e\u57ce\u9547\u804c\u5de5\u533b\u4fdd\u3002\u4ee5\u5c71\u4e1c\u77012017-2021\u5e7420\u4e07\u4f8b\u80ba\u764c\u60a3\u8005\u4e3a\u4f8b\uff0c\u5c3d\u7ba1\u57ce\u9547\u804c\u5de5\u4e0e\u5c45\u6c11\u533b\u4fdd\u4f4f\u9662\u653f\u7b56\u89c4\u5b9a\u7684\u62a5\u9500\u6bd4\u4f8b\u5206\u522b\u4e0d\u4f4e\u4e8e80%\u548c70%\uff0c\u4f46\u53d7\u8d77\u4ed8\u7ebf\u3001\u5c01\u9876\u7ebf\u53ca\u76ee\u5f55\u5916\u8d39\u7528\u7b49\u56e0\u7d20\u5236\u7ea6\uff0c\u4e24\u8005\u7684\u5b9e\u9645\u62a5\u9500\u6bd4\u4f8b\u4ec5\u5206\u522b\u4e3a61%\u548c45%\u3002\u804c\u5de5\u533b\u4fdd\u60a3\u8005\u7684\u603b\u6cbb\u7597\u8d39\u7528\u9ad8\u4e8e\u5c45\u6c11\u533b\u4fdd\u60a3\u8005\uff0c\u4f46\u5176\u81ea\u4ed8\u8d39\u7528\u5374\u6bd4\u540e\u8005\u4f4e\u7ea6\u4e94\u5206\u4e4b\u4e00\uff0c\u4e14\u63a5\u53d7\u624b\u672f\u3001\u9776\u5411\u6cbb\u7597\u548c\u514d\u75ab\u6cbb\u7597\u7b49\u65b0\u7597\u6cd5\u7684\u6982\u7387\u663e\u8457\u66f4\u9ad8 [13]<\/sup>\u3002\u6b64\u5916\uff0c\u62a5\u9500\u6c34\u5e73\u4e0e\u533a\u57df\u7ecf\u6d4e\u53d1\u5c55\u7a0b\u5ea6\u6b63\u76f8\u5173\u30022020-2021\u5e74\u4e00\u9879\u9488\u5bf94000\u4f59\u4f8b\u665a\u671f\u7ed3\u76f4\u80a0\u764c\u60a3\u8005\u7684\u8c03\u67e5\u663e\u793a\uff0c\u7edd\u5927\u591a\u6570\u60a3\u8005\u4eab\u6709\u57ce\u9547\u804c\u5de5\u6216\u57ce\u4e61\u5c45\u6c11\u533b\u4fdd\uff08\u542b\u65b0\u519c\u5408\uff09\uff0c\u800c\u4f5c\u4e3a\u8865\u5145\u4fdd\u969c\u7684\u5927\u75c5\u4fdd\u9669\u4e0e\u5546\u4e1a\u4fdd\u9669\u8986\u76d6\u7387\u5747\u4ec5\u4e3a5%\u5de6\u53f3\u3002\u4e1c\u90e8\u5730\u533a\u5e73\u5747\u533b\u4fdd\u62a5\u9500\u6bd4\u4f8b\u6700\u9ad8\uff0861.5%\uff09\uff0c\u4e2d\u90e8\u6b21\u4e4b\uff0857.9%\uff09\uff0c\u897f\u5357\u5730\u533a\u6700\u4f4e\uff0851.7%\uff09[14]<\/sup>\u3002<\/strong><\/p>\n\n\n\n

\u00a0\u00a0 <\/strong>\u5176\u6b21\uff0c\u533b\u4fdd\u6297\u764c\u836f\u7684\u53ef\u53ca\u6027\u4e0e\u53ef\u8d1f\u62c5\u6027\u4f9d\u7136\u4e0d\u8db3\u3002<\/strong>\u5c3d\u7ba1\u56fd\u4ea7\u6297\u764c\u836f\u7684\u53ef\u53ca\u6027\u9010\u5e74\u6709\u6240\u6539\u5584\uff0c\u4f46\u603b\u4f53\u6c34\u5e73\u4ecd\u504f\u4f4e\uff0c\u4e14\u5448\u73b0\u4e1c\u9ad8\u897f\u4f4e\u7684\u5730\u533a\u5dee\u5f02 [15, 16]<\/sup>\u3002\u4f46\u5373\u4fbf\u662f\u7ecf\u6d4e\u8f83\u4e3a\u53d1\u8fbe\u7684\u6c5f\u82cf\u7701\uff0c2021\u5e74\u9488\u5bf924\u79cd\u57fa\u672c\u6297\u764c\u836f\u4e0e17\u79cd\u521b\u65b0\u836f\u7684\u8c03\u67e5\u663e\u793a\uff0c\u533b\u4fdd\u6297\u764c\u836f\u603b\u4f53\u53ef\u53ca\u6027\u4ecd\u4f4e\u4e8e50% [17]<\/sup>\u3002\u53e6\u4e00\u9879\u9488\u5bf9\u6c5f\u82cf\u770123\u79cd\u521b\u65b0\u836f\u7684\u8c03\u67e5\u8868\u660e\uff0c43.5%\u7684\u836f\u54c1\u5b58\u5728\u83b7\u53d6\u56f0\u96be\uff0c30.4%\u6781\u96be\u83b7\u53d6 [18]<\/sup>\u3002\u7a76\u5176\u539f\u56e0\uff0c\u516c\u7acb\u533b\u9662\u53d7\u201c\u836f\u5360\u6bd4\u201d\u8003\u6838\u3001\u50a8\u5b58\u6210\u672c\u4ee5\u53caDRG\u652f\u4ed8\u6539\u9769\u63a7\u8d39\u5236\u7ea6\uff0c\u914d\u5907\u52a8\u529b\u4e0d\u8db3\uff0c\u4e14\u9ad8\u4ef7\u836f\u5916\u6d41\uff0c\u8fdb\u800c\u63a8\u9ad8\u4e86\u60a3\u8005\u7684\u9662\u5916\u81ea\u4ed8\u8d39\u7528\uff0c\u589e\u52a0\u4e86\u5f31\u52bf\u7fa4\u4f53\u707e\u96be\u6027\u533b\u7597\u652f\u51fa\u98ce\u9669 [19, 20]<\/sup>\u3002\u5373\u4fbf\u836f\u54c1\u53ef\u53ca\uff0c\u7ecf\u6d4e\u8d1f\u62c5\u4f9d\u7136\u6c89\u91cd\uff0c\u5c24\u5176\u662f\u519c\u6751\u60a3\u8005 [15]<\/sup>\u3002\u4ee5\u66f2\u59a5\u73e0\u5355\u6297\u4e3a\u4f8b\uff0c\u5176\u914d\u5957\u68c0\u6d4b\u672a\u7eb3\u5165\u533b\u4fdd\uff0c2020\u5e74\u519c\u6751\u60a3\u8005\u6cbb\u7597\u81ea\u4ed8\u8d39\u7528\u4ecd\u5360\u5176\u5e74\u4eba\u5747\u53ef\u652f\u914d\u6536\u5165\u768462.9% [21]<\/sup>\u3002<\/p>\n\n\n\n

   <\/strong>\u6b64\u5916\uff0c\u4e0e\u4fe1\u606f\u83b7\u53d6\u3001\u5065\u5eb7\u610f\u8bc6\u7b49\u56e0\u7d20\u76f8\u5173\uff0c<\/strong>\u5546\u4e1a\u5065\u5eb7\u9669\u8986\u76d6\u6709\u9650\u4e14\u5b58\u5728\u7cfb\u7edf\u6027\u504f\u5dee\u3002<\/strong>\u5546\u4e1a\u5065\u5eb7\u9669\u8986\u76d6\u5448\u73b0\u663e\u8457\u7684\u57ce\u4e61\u5dee\u5f02\uff0c\u4e14\u8fd9\u4e00\u5dee\u8ddd\u968f\u5e74\u9f84\u589e\u957f\u8fdb\u4e00\u6b65\u6269\u5927\u3002\u800c\u4e14\uff0c\u6570\u5b57\u4fe1\u606f\u9e3f\u6c9f\u5bfc\u81f4\u519c\u6751\u5c45\u6c11\u548c\u8001\u5e74\u7fa4\u4f53\u66f4\u96be\u4ee5\u83b7\u76ca\uff0c\u5448\u73b0\u201c\u5f3a\u8005\u6108\u5f3a\u201d\u7684\u9a6c\u592a\u6548\u5e94 [22]<\/sup>\u3002\u5373\u4fbf\u662f\u60e0\u6c11\u4fdd\uff0c\u4ea6\u53d7\u5065\u5eb7\u610f\u8bc6\u3001\u4fe1\u606f\u6e20\u9053\u548c\u652f\u4ed8\u529e\u6cd5\u7b49\u56e0\u7d20\u5236\u7ea6\uff0c\u5bfc\u81f4\u53c2\u4fdd\u5206\u5e03\u4e0d\u5747\u3002   <\/strong><\/p>\n\n\n\n

\uff08\u4e8c\uff09\u53bf\u57df\u533b\u7597\u80fd\u529b\u6709\u9650\uff0c\u5f02\u5730\u5c31\u533b\u63a8\u9ad8\u76f4\u63a5\u975e\u533b\u7597\u8d39\u7528<\/strong><\/h3>\n\n\n\n

    <\/strong>\u53bf\u57df\u533b\u7597\u673a\u6784\u80bf\u7624\u8bca\u6cbb\u80fd\u529b\u4e0d\u8db3\uff0c\u81f4\u4f7f\u5f02\u5730\u5c31\u533b\u666e\u904d\uff0c\u589e\u52a0\u4e86\u60a3\u8005\u7684\u76f4\u63a5\u975e\u533b\u7597\u8d1f\u62c5<\/strong>\u3002\u4e2d\u56fd\u6297\u764c\u534f\u4f1a\uff08CACA\uff092023\u5e74\u8c03\u67e5\u663e\u793a[23]<\/sup>\uff0c\u867d\u713682.9%\u7684\u53bf\u7ea7\u673a\u6784\u8bbe\u6709\u80bf\u7624\u79d1\uff0c\u4f46\u80bf\u7624\u5916\u79d1\u8bbe\u7f6e\u7387\u4ec5\u4e3a26.3%\uff0c\u653e\u7597\u8986\u76d6\u7387\u4e3a56.6%\uff0c\u5177\u5907\u5206\u5b50\u75c5\u7406\u68c0\u6d4b\u80fd\u529b\u8005\u4ec5\u536038.2%\uff1b\u5c3d\u7ba1\u8d8580%\u7684\u53bf\u57df\u533b\u7597\u673a\u6784\u4e0e\u4e0a\u7ea7\u533b\u7597\u673a\u6784\u5efa\u7acb\u4e86\u5408\u4f5c\u4e0e\u8f6c\u8bca\u5173\u7cfb\uff0c\u4f4656.6%\u7f3a\u4e4f\u8fdc\u7a0b\u534f\u4f5c\u7cfb\u7edf\uff0c\u4e0d\u8db3\u534a\u6570\u5b9e\u73b0\u7ed3\u679c\u4e92\u8ba4\u4e0e\u4fe1\u606f\u5171\u4eab\uff0c\u8bca\u7597\u4e0e\u60a3\u8005\u7ba1\u7406\u8fde\u7eed\u6027\u4e0d\u4f73\u3002\u884c\u4e1a\u6570\u636e\u663e\u793a\uff0c\u7ea654%\u7684\u60a3\u8005\u8de8\u5730\u533a\u5c31\u533b\uff0c\u672a\u6309\u89c4\u5b9a\u8f6c\u8bca\u6216\u672a\u5907\u6848\u60a3\u8005\u62a5\u9500\u6bd4\u4f8b\u4e0b\u964d\u53ca\u4ea4\u901a\u3001\u4f4f\u5bbf\u7b49\u81ea\u4ed8\u8d39\u7528\u7d2f\u79ef\uff0c\u52a0\u91cd\u4e86\u60a3\u8005\u5bb6\u5ead\u7ecf\u6d4e\u8d1f\u62c5[24]<\/sup>\u3002<\/p>\n\n\n\n

\uff08\u4e09\uff09\u52b3\u52a8\u529b\u9000\u51fa\u4e0e\u7167\u62a4\u8d1f\u62c5\u53e0\u52a0\u4e0b\u7684\u5bb6\u5ead\u6536\u5165\u51b2\u51fb<\/strong><\/h3>\n\n\n\n

\u00a0\u00a0\u00a0 \u60a3\u8005\u52b3\u52a8\u529b\u9000\u51fa\u4e0e\u7167\u62a4\u8d1f\u62c5\u81f4\u5bb6\u5ead\u6536\u5165\u4e0b\u964d<\/strong>\u3002\u786e\u8bca\u540e\u60a3\u8005\u52b3\u52a8\u80fd\u529b\u4e0b\u964d\u6216\u4e27\u5931\uff0c\u5bfc\u81f4\u6536\u5165\u4e2d\u65ad\u3002\u764c\u75c7\u60a3\u75c5\u7684\u201c\u5371\u91cd\u201d\u8ba4\u77e5\u5f15\u53d1\u7684\u201c\u56de\u907f\u52b3\u52a8\u201d\u4f11\u517b\u6a21\u5f0f\u867d\u51fa\u4e8e\u5173\u5207\uff0c\u5374\u5ef6\u7f13\u5eb7\u590d\u5e76\u538b\u7f29\u4e86\u5bb6\u5ead\u672c\u5df2\u6709\u9650\u7684\u7ecf\u6d4e\u7f13\u51b2\u7a7a\u95f4[25]<\/sup>\u3002\u8986\u76d6752\u540d\u519c\u6751\u60a3\u8005\u7684\u8c03\u67e5\u663e\u793a\uff0c\u786e\u8bca\u65f6\u5728\u4e1a\u8005\u4e2d39%\u51cf\u5c11\u5de5\u65f6\uff0c40%\u505c\u6b62\u5de5\u4f5c[26]<\/sup>\u3002\u4e2d\u56fd\u764c\u75c7\u7167\u62a4\u9ad8\u5ea6\u4f9d\u8d56\u5bb6\u5ead\u6210\u5458\uff0c\u5bb6\u5ead\u7167\u62a4\u91cd\u62c5\u591a\u7531\u914d\u5076\u6216\u5b50\u5973\u627f\u62c5\u3002\u5728\u804c\u7167\u62a4\u8005\u4e2d72.6%\u9700\u8bf7\u5047\uff0c24.6%\u6708\u6536\u5165\u635f\u5931\u8d8520%\uff0c\u793e\u4f1a\u7ecf\u6d4e\u72b6\u51b5\u8d8a\u4f4e\u7684\u5bb6\u5ead\u635f\u5931\u8d8a\u91cd[27]<\/sup>\u3002\u4eb2\u5c5e\u503e\u5c3d\u8d44\u6e90\u5e76\u627f\u53d7\u5f3a\u70c8\u5fc3\u7406\u538b\u529b\uff0c\u7ea6\u4e09\u5206\u4e4b\u4e00\u5bb6\u5ead\u7167\u62a4\u8005\u51fa\u73b0\u7126\u8651\u6216\u6291\u90c1\u75c7\u72b6[27, 28]<\/sup>\u3002<\/p>\n\n\n\n

\uff08\u56db\uff09\u652f\u6301\u6027\u7167\u62a4\u4f53\u7cfb\u7f3a\u4f4d\uff0c\u7ecf\u6d4e\u98ce\u9669\u8bc6\u522b\u4e0e\u5e72\u9884\u4e0d\u8db3<\/strong><\/h3>\n\n\n\n

\u6211\u56fd\u764c\u75c7\u60a3\u8005\u7684\u652f\u6301\u6027\u7167\u62a4\uff08<\/strong>Supportive Care in Cancer, SCC<\/strong>\uff09\u8fdc\u672a\u6ee1\u8db3\u9700\u6c42\uff0c\u5b58\u5728\u6cbb\u7597\u8d39\u7528\u6c9f\u901a\u4e0d\u8db3\u4e0e\u5fc3\u7406\u652f\u6301\u7ed3\u6784\u6027\u7f3a\u5931<\/strong>\u3002\u6211\u56fd\u80bf\u7624\u8bca\u7597\u666e\u904d\u5448\u73b0\u201c\u533b\u751f\u4e3b\u5bfc\u201d\u6a21\u5f0f\uff0c\u60a3\u8005\u53c2\u4e0e\u6cbb\u7597\u65b9\u6848\u89c4\u5212\u53ca\u76f8\u5173\u6cbb\u7597\u4e0e\u7167\u62a4\u6210\u672c\u8ba8\u8bba\u4e0d\u8db3\uff0c\u96be\u4ee5\u5ba2\u89c2\u8bc4\u4f30\u6cbb\u7597\u957f\u671f\u6027\u4e0e\u6f5c\u5728\u7ecf\u6d4e\u8d1f\u62c5 [25]<\/sup>\u3002\u540c\u65f6\uff0c\u9488\u5bf9\u7ecf\u6d4e\u56f0\u96be\u60a3\u8005\u7684\u63f4\u52a9\u54a8\u8be2\u3001\u4fdd\u9669\u6307\u5bfc\u3001\u793e\u4f1a\u8d44\u6e90\u94fe\u63a5\u3001\u5eb7\u590d\u4ee5\u53ca\u5fc3\u7406\u652f\u6301\u670d\u52a1\u5c1a\u672a\u5f62\u6210\u7cfb\u7edf\u5316\u670d\u52a1\u4f53\u7cfb [29-31]<\/sup>\u3002\u53d7\u5730\u57df\u4e0e\u60a3\u8005\u4e2a\u4f53\u56e0\u7d20\u5236\u7ea6\uff0c\u60a3\u8005\u83b7\u53d6\u7ecf\u6d4e\u63f4\u52a9\u3001\u793e\u4f1a\u652f\u6301\u4ee5\u53ca\u9488\u5bf9\u6027\u7684\u5fc3\u7406\u5e72\u9884\u5b58\u5728\u969c\u788d [32]<\/sup>\u3002<\/p>\n\n\n\n

\u4e09\u3001\u5e94\u5bf9\u764c\u75c7\u6cbb\u7597\u7ecf\u6d4e\u6bd2\u6027\u7684\u56fd\u9645\u7ecf\u9a8c<\/strong><\/strong><\/h2>\n\n\n\n

     \u82f1\u7f8e\u4e24\u56fd\u7684\u5236\u5ea6\u8bbe\u8ba1\u867d\u5b58\u5728\u663e\u8457\u5dee\u5f02\uff0c\u4f46\u5728\u5e94\u5bf9\u764c\u75c7\u6cbb\u7597\u7ecf\u6d4e\u6bd2\u6027\u65f6\uff0c\u5747\u5021\u8bae\u4ef7\u503c\u533b\u7597\uff08Value-Based Healthcare\uff09\u4e3a\u6838\u5fc3\uff0c\u5c06\u6539\u5584\u4e34\u5e8a\u7ed3\u5c40\u4e0e\u5b8c\u5584\u60a3\u8005\u7ecf\u6d4e\u98ce\u9669\u4fdd\u62a4\u76f8\u7ed3\u5408\uff0c\u5e76\u5b9e\u65bd\u52a8\u6001\u76d1\u6d4b\u4e0e\u8bc4\u4f30\uff0c\u4ece\u800c\u8c03\u6574\u5e72\u9884\u63aa\u65bd\u4e14\u4fdd\u969c\u7b56\u7565\u5b9e\u65bd\u7684\u53ef\u6301\u7eed\u6027\u3002<\/p>\n\n\n\n

\uff08\u4e00\uff09\u5efa\u7acb\u4ef7\u503c\u5bfc\u5411\u7684\u836f\u54c1\u51c6\u5165\u4e0e\u652f\u4ed8\u673a\u5236<\/strong><\/h3>\n\n\n\n

\u82f1\u56fd\u4f9d\u6258\u56fd\u5bb6\u533b\u7597\u670d\u52a1\u4f53\u7cfb\uff08<\/strong>NHS<\/strong>\uff09\u5f3a\u5316\u836f\u7269\u6210\u672c\u6548\u76ca\u8bc4\u4f30<\/strong>\uff0c\u4e8e2011\u5e74\u8bbe\u7acb\u764c\u75c7\u836f\u7269\u57fa\u91d1\uff08CDF\uff09\u3002\u8be5\u57fa\u91d1\u901a\u8fc7\u4fdd\u5bc6\u6298\u6263\u6216\u5546\u4e1a\u51c6\u5165\u534f\u8bae\u7b49\u5f62\u5f0f\u4e0e\u836f\u4f01\u8fdb\u884c\u4ef7\u683c\u8c08\u5224\uff0c\u5728\u9884\u7b97\u7ea6\u675f\u4e0b\u63d0\u4f9b\u836f\u54c1\u4e34\u65f6\u8d44\u52a9\u3002\u540c\u65f6\uff0c\u836f\u4f01\u9700\u7b7e\u7f72\u6570\u636e\u6536\u96c6\u534f\u8bae\uff0c\u7528\u4e8e\u8ffd\u8e2a\u7528\u836f\u3001\u968f\u8bbf\u53ca\u6210\u672c\u6548\u76ca\u8bc4\u4f30\u3002\u636e\u6b64\u5efa\u7acb\u7684\u518d\u8bc4\u4f30\u673a\u5236\u51b3\u5b9a\u836f\u54c1\u80fd\u5426\u8f6c\u5165NHS\u5e38\u89c4\u8d44\u52a9\uff0c\u4ee5\u7ba1\u63a7\u8d22\u653f\u98ce\u9669\u3002\u7814\u7a76\u8868\u660e\uff0cCDF\u663e\u8457\u63d0\u5347\u4e86\u9ad8\u4ef7\u6297\u764c\u836f\u7684\u65e9\u671f\u53ef\u53ca\u6027\uff0c\u5176\u4e2d\u90e8\u5206\u836f\u7269\u7ecf\u518d\u8bc4\u4f30\u5df2\u8fdb\u5165NHS\u5e38\u89c4\u91c7\u8d2d\u3002\u7136\u800c\uff0c\u7531\u4e8e\u7597\u6548\u76f8\u5173\u7684\u4e0d\u786e\u5b9a\u6027\u4ecd\u7136\u5b58\u5728\uff0c\u9700\u7ed3\u5408\u4e34\u5e8a\u8bd5\u9a8c\u548c\u771f\u5b9e\u4e16\u754c\u6570\u636e\u4e3a\u51b3\u7b56\u63d0\u4f9b\u79d1\u5b66\u4f9d\u636e [33, 34]<\/sup>\u3002<\/p>\n\n\n\n

\u7f8e\u56fd\u901a\u8fc7\u7acb\u6cd5\u63a7\u8d39\u3001\u8bbe\u5b9a\u81ea\u4ed8\u4e0a\u9650\u53ca\u6269\u5927\u6551\u52a9\u8d44\u683c\u7b49\u4e3e\u63aa\u4ee5\u51cf\u8f7b\u60a3\u8005\u7ecf\u6d4e\u8d1f\u62c5<\/strong>\u3002\u591a\u6570\u5dde\u63a8\u884c\u836f\u54c1\u4ef7\u683c\u900f\u660e\u6cd5\u548c\u53e3\u670d\u80bf\u7624\u836f\u4e0e\u6ce8\u5c04\u6297\u764c\u836f\u5e73\u4ef7\u6cd5\u6848 [35]<\/sup>\u3002\u622a\u81f32017\u5e74\uff0c11\u4e2a\u5dde\u5b9e\u65bd\u4e86\u53e3\u670d\u6297\u764c\u836f\u6708\u5ea6\u81ea\u4ed8\u4e0a\u9650\uff0850\u2013300\u7f8e\u5143\uff09\uff0c\u964d\u4f4e\u4e86\u9ad8\u8d39\u7528\u60a3\u8005\u7684\u7ecf\u6d4e\u538b\u529b [36]<\/sup>\u30022022\u5e74\u300a\u901a\u80c0\u524a\u51cf\u6cd5\u6848\u300b\u5f15\u5165\u591a\u9879\u6539\u9769\uff1a\u4e00\u662f\u6388\u6743\u536b\u751f\u4e0e\u516c\u4f17\u670d\u52a1\u90e8\u5bf9\u8054\u90a6\u533b\u7597\u4fdd\u9669\uff08Medicare\uff09Part B\uff08\u95e8\u8bca\uff09\u548cPart D\uff08\u5904\u65b9\u836f\uff09\u4e2d\u7684\u9ad8\u652f\u51fa\u836f\u54c1\u8fdb\u884c\u4ef7\u683c\u8c08\u5224\uff0c\u8bbe\u5b9a\u201c\u6700\u9ad8\u516c\u5e73\u4ef7\u683c\u201d\uff1b\u4e8c\u662f\u8981\u6c42\u836f\u4f01\u5bf9Part B\u548cD\u836f\u54c1\u4ef7\u683c\u6da8\u5e45\u8d85\u8fc7\u5e74\u5ea6\u901a\u80c0\u7387\u90e8\u5206\u652f\u4ed8\u56de\u6263\uff1b\u4e09\u662f\u6269\u5927Medicare Part D\u4f4e\u6536\u5165\u8865\u8d34\u8303\u56f4\uff0c\u514d\u9664\u4f4e\u6536\u5165\u60a3\u8005\u7684\u81ea\u4ed8\u8d77\u4ed8\u7ebf\u548c15%\u7684\u5171\u4ed8\u91d1\u989d\uff1b\u56db\u662f\u81ea2025\u5e74\u8d77\u5c06 Part D \u8986\u76d6\u836f\u54c1\u5e74\u5ea6\u60a3\u8005\u81ea\u4ed8\u652f\u51fa\u9650\u5236\u57282000\u7f8e\u5143\uff0c\u5f62\u6210\u9762\u5411\u9ad8\u8d39\u7528\u60a3\u8005\u7684\u5e74\u5ea6\u81ea\u4ed8\u6b62\u635f\u673a\u5236 [37, 38]<\/sup>\u3002<\/p>\n\n\n\n

\uff08\u4e8c\uff09\u6784\u5efa\u4ee5\u60a3\u8005\u9700\u6c42\u4e3a\u4e2d\u5fc3\u7684\u5bfc\u822a\u670d\u52a1\u6a21\u5f0f<\/h3>\n\n\n\n

\u82f1\u7f8e\u4e24\u56fd<\/strong>\u5747\u9ad8\u5ea6\u91cd\u89c6\u764c\u75c7\u60a3\u8005\u7ecf\u6d4e\u98ce\u9669\u7684\u65e9\u671f\u8bc6\u522b\u548c\u6301\u7eed\u652f\u6301\uff0c<\/strong>\u6784\u5efa\u4e86\u4ee5\u9700\u6c42\u8bc4\u4f30\u3001\u8f6c\u4ecb\u534f\u8c03\u548c\u793e\u4f1a\u652f\u6301\u4e3a\u6838\u5fc3\u7684\u5d4c\u5165\u5f0f\u3001\u4e00\u4f53\u5316<\/strong>\u201c<\/strong>\u60a3\u8005\u5bfc\u822a<\/strong>\u201d<\/strong>\u6a21\u5f0f<\/strong>\uff0c\u901a\u8fc7\u653f\u5e9c\u3001\u6148\u5584\u53ca\u533b\u7597\u673a\u6784\u7b49\u591a\u6e20\u9053\u7b79\u8d44\u5c06\u5176\u7eb3\u5165\u764c\u75c7\u62a4\u7406\u4f53\u7cfb\u3002<\/p>\n\n\n\n

\u8be5\u6a21\u5f0f\u901a\u5e38\u7531\u4e13\u79d1\u62a4\u58eb\u6216\u793e\u5de5\u5229\u7528\u6807\u51c6\u5316\u5de5\u5177\u5bf9\u65b0\u786e\u8bca\u60a3\u8005\u8fdb\u884c\u98ce\u9669\u7b5b\u67e5\uff0c\u8bc6\u522b\u9ad8\u5371\u4eba\u7fa4\u540e\u7531\u533b\u62a4\u6216\u60a3\u8005\u89e6\u53d1\u4ecb\u5165\u3002\u5728\u7f8e\u56fd\uff0c\u8be5\u6a21\u5f0f\u4ee5\u201c\u8d22\u52a1\u5bfc\u822a\u201d\u4e3a\u6838\u5fc3\uff0c\u6db5\u76d6\u89e3\u8bfbMedicare\u3001Medicaid\u53ca\u5546\u4fdd\u6761\u6b3e\u3001\u8ba8\u8bba\u6cbb\u7597\u65b9\u6848\u3001\u9884\u4f30\u81ea\u4ed8\u8d39\u7528\u7b49\u4fe1\u606f\u8d4b\u80fd\uff0c\u5e76\u534f\u52a9\u7ecf\u6d4e\u8106\u5f31\u7fa4\u4f53\u7533\u8bf7\u6148\u5584\u63f4\u52a9\u4e0e\u533b\u7597\u503a\u52a1\u54a8\u8be2 [37]<\/sup>\u3002\u82f1\u56fd\u5219\u4fa7\u91cd\u793e\u533a\u6574\u5408\u652f\u6301\u4e0e\u798f\u5229\u6743\u76ca\u670d\u52a1\uff0c\u7edf\u7b79\u534f\u8c03\u5fc3\u7406\u3001\u751f\u6d3b\u53ca\u5c31\u4e1a\u6307\u5bfc\u7b49\u652f\u6301\u6027\u670d\u52a1 [39]<\/sup>\u3002\u4e24\u56fd\u7814\u7a76\u5747\u8868\u660e\uff0c\u60a3\u8005\u5bfc\u822a\u80fd\u6709\u6548\u7f13\u89e3\u764c\u75c7\u60a3\u8005\u7684\u7ecf\u6d4e\u6bd2\u6027\uff0c\u5176\u5177\u4f53\u5b9e\u65bd\u6a21\u5f0f\u3001\u6210\u672c\u6548\u679c\u53ca\u5927\u89c4\u6a21\u63a8\u5e7f\u8def\u5f84\u9700\u8fdb\u4e00\u6b65\u63a2\u7d22\uff0c\u4ee5\u9002\u5e94\u5176\u5728\u4e0d\u540c\u533b\u7597\u4f53\u7cfb\u4e2d\u7684\u53ef\u6301\u7eed\u5e94\u7528\u3002    <\/a><\/a><\/p>\n\n\n\n

\u56db<\/strong>\u3001\u653f\u7b56\u5efa\u8bae<\/strong><\/h2>\n\n\n\n

    <\/a>\u9274\u4e8e\u764c\u75c7\u6cbb\u7597\u533b\u7597\u4e0e\u5c31\u533b\u6210\u672c\u9ad8\u3001\u5bb6\u5ead\u7167\u62a4\u8d1f\u62c5\u91cd\uff0c\u6211\u56fd\u5e94\u4ece\u653f\u7b56\u5c42\u9762\u6784\u5efa\u591a\u65b9\u534f\u540c\u3001\u4ee5\u4eba\u4e3a\u672c\u7684\u4e00\u4f53\u5316\u670d\u52a1\u4f53\u7cfb\uff0c\u4ee5\u7cfb\u7edf\u5e94\u5bf9\u764c\u75c7\u60a3\u8005\u9762\u4e34\u7684\u7ecf\u6d4e\u6bd2\u6027\u95ee\u9898\u3002<\/p>\n\n\n\n

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   \u5efa\u8bae\u5efa\u7acb\u4ef7\u503c\u652f\u4ed8\u4e0e\u8fde\u7eed\u6027\u7167\u62a4\u4f53\u7cfb\u7684\u8bd5\u70b9\u8bc4\u4f30\u4e0e\u653f\u7b56\u53cd\u9988\u673a\u5236<\/strong>\u3002\u53ef\u59d4\u6258\u9ad8\u6821\u3001\u79d1\u7814\u9662\u6240\u6216\u4e13\u4e1a\u673a\u6784\uff0c\u5bf9\u652f\u4ed8\u6539\u9769\u3001\u7ecf\u6d4e\u63f4\u52a9\u3001\u8fde\u7eed\u6027\u7167\u62a4\u5c24\u5176\u662f\u60a3\u8005\u5bfc\u822a\u670d\u52a1\u7b49\u8bd5\u70b9\u9879\u76ee\u5f00\u5c55\u72ec\u7acb\u8bc4\u4f30\u3002\u8bc4\u4f30\u5e94\u91cd\u70b9\u8003\u5bdf\u4e0a\u8ff0\u4e3e\u63aa\u5728\u7ecf\u6d4e\u98ce\u9669\u9632\u8303\u3001\u670d\u52a1\u8d28\u91cf\u3001\u4e34\u5e8a\u4e0e\u60a3\u8005\u62a5\u544a\u7ed3\u5c40\uff0c\u4ee5\u53ca\u5e72\u9884\u63aa\u65bd\u53ef\u6301\u7eed\u6027\u7b49\u591a\u7ef4\u5ea6\u7684\u7efc\u5408\u5f71\u54cd\u3002\u5bf9\u4e8e\u7ecf\u8bc4\u4f30\u8bc1\u5b9e\u5177\u6709\u6210\u672c\u6548\u679c\u548c\u60a3\u8005\u83b7\u76ca\u7684\u63f4\u52a9\u4e0e\u652f\u6301\u6027\u7167\u62a4\u9879\u76ee\uff0c\u53ef\u63a2\u7d22\u7eb3\u5165\u56fd\u5bb6\u764c\u75c7\u9632\u6cbb\u884c\u52a8\u3001\u516c\u5171\u536b\u751f\u4e13\u9879\u6216\u5730\u65b9\u8d22\u653f\u652f\u6301\u8303\u56f4\uff0c\u5f62\u6210\u53ef\u6301\u7eed\u7684\u8d44\u91d1\u4fdd\u969c\u673a\u5236\u3002\u5728\u6b64\u57fa\u7840\u4e0a\uff0c\u6784\u5efa\u201c\u652f\u4ed8\u2014\u670d\u52a1\u2014\u6570\u636e\u2014\u8bc4\u4f30\u2014\u518d\u51b3\u7b56\u201d\u7684\u7ba1\u7406\u95ed\u73af\uff0c\u63a8\u52a8\u764c\u75c7\u7ecf\u6d4e\u6bd2\u6027\u6cbb\u7406\u7531\u5355\u4e00\u7684\u201c\u63a7\u8d39\u5bfc\u5411\u201d\u5411\u201c\u4ef7\u503c\u533b\u7597\u5bfc\u5411\u201d\u8f6c\u578b\uff0c\u6700\u7ec8\u63d0\u5347\u764c\u75c7\u8bca\u7597\u7684\u5065\u5eb7\u4ea7\u51fa\u4e0e\u516c\u5e73\u6027\u3002  <\/p>\n\n\n\n

\u4e94\u3001\u7ed3\u8bed<\/strong><\/strong><\/h2>\n\n\n\n

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