Shanahan M, Gousseau C
Centre for Health Economics Research and Evaluation, University of Sydney, Camperdown, NSW, Australia.
Med Care. 1999 Jun;37(6 Suppl):JS83-100. doi: 10.1097/00005650-199906001-00010.
Motivated by Manitoba Health's desire to know how health spending in Manitoba compared with other provinces, this study is a descriptive project designed to inform the health policy process by comparing indicators of need and expenditure across Canada.
Population characteristics that are known to influence the need for health care constitute the comparative data categories.
In terms of all five health status indicators and five of eight socioeconomic indicators, Manitoba ranked medium (fourth to seventh of 10 provinces) or average. Demographic characteristics placed Manitoba second to Saskatchewan in proportion of both elderly residents and Registered Indians. This is notable, because both groups traditionally have high health needs. With provincial characteristics established, the second part of the study compares provincial per capita health expenditure data with expected need for health care services.
Overall, the study finds provincial health expenditures are not related to health care need indicators. Saskatchewan is a case in point; despite having similar population characteristics to Manitoba, Saskatchewan has a population with good health status and lower health care expenditures. This offers a model that invites further exploration.
At the provincial level the amount of health care spending is not positively related to the need for health care.
受曼尼托巴省卫生部想了解该省卫生支出与其他省份相比情况的推动，本研究是一个描述性项目，旨在通过比较加拿大各地的需求指标和支出指标，为卫生政策制定过程提供信息。
已知会影响医疗保健需求的人口特征构成了比较数据类别。
在所有五项健康状况指标和八项社会经济指标中的五项指标方面，曼尼托巴省排名中等（在10个省份中位列第四至第七）或处于平均水平。在老年居民和注册印第安人的比例方面，曼尼托巴省的人口特征在各省中仅次于萨斯喀彻温省。这一点值得注意，因为这两个群体传统上都有较高的医疗需求。在确定了各省的特征之后，研究的第二部分将各省的人均卫生支出数据与医疗保健服务的预期需求进行了比较。
总体而言，该研究发现各省的卫生支出与医疗保健需求指标无关。萨斯喀彻温省就是一个例子；尽管其人口特征与曼尼托巴省相似，但萨斯喀彻温省的人口健康状况良好，医疗保健支出较低。这提供了一个值得进一步探索的模式。
在省级层面，医疗保健支出的数额与医疗保健需求没有正相关关系。
