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效率如何拯救生命:一项关于发展中国家医疗保健资源优化配置的线性规划

Where efficiency saves lives: a linear programme for the optimal allocation of health care resources in developing countries.

作者信息

Flessa S

机构信息

University of Applied Sciences, Nürnberg, Germany.

出版信息

Health Care Manag Sci. 2000 Jun;3(3):249-67. doi: 10.1023/a:1019053710258.

Abstract

Morbidity and mortality are directly influenced by the available health care budget. In addition, the optimal allocation of this scarce resource to the different strata of the health care system depends on the health care priorities. This paper presents a linear programming model in order to analyse the impact of changes of the health care budget and the goal system of the health care system on the optimal allocation to preventive and curative medicine. The model demonstrates that the current resource allocation in developing countries is inefficient. This calls for a new emphasis on preventive medicine and primary care in the political processes in developing countries.

摘要

发病率和死亡率直接受到可用医疗保健预算的影响。此外,将这一稀缺资源优化分配到医疗保健系统的不同层次取决于医疗保健的优先事项。本文提出了一个线性规划模型,以分析医疗保健预算的变化以及医疗保健系统的目标体系对预防医学和治疗医学最优分配的影响。该模型表明,发展中国家目前的资源分配效率低下。这就要求在发展中国家的政治进程中重新重视预防医学和初级保健。

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