Saltman R B, Berleen G, Larsson B A
Rollins School of Public Health, Emory University, 1518 Clifton Rd. N.E., Atlanta, GA 30322, USA.
Eur J Public Health. 2001 Mar;11(1):93-6. doi: 10.1093/eurpub/11.1.93.
Current national expenditure series in the health sector focus predominantly on spending for medical services. However, as the percentage of elderly individuals grows, national policy makers will increasingly require an expenditure series which includes combined expenditure for social care as well as medical expenditures. In one country, Sweden, national policy makers have begun to relate policy decisions to a 12.0% (1996) figure for combined health and social care expenditures. Calculating such a combined figure presents a number of methodological issues, such as which social care services to include and how to reflect donated care from relatives and friends. An international comparison of this new health and social care figure would enable national decision makers to judge better the efficiency and effectiveness of current policy.
目前，国家卫生部门的支出系列主要集中在医疗服务支出上。然而，随着老年人口比例的增加，国家政策制定者将越来越需要一个支出系列，其中包括社会护理支出和医疗支出的综合支出。在瑞典这个国家，国家政策制定者已开始将政策决策与1996年12.0%的医疗和社会护理综合支出数字联系起来。计算这样一个综合数字存在一些方法问题，例如应包括哪些社会护理服务，以及如何反映亲属和朋友提供的无偿护理。对这一新的医疗和社会护理数字进行国际比较，将使国家决策者能够更好地判断现行政策的效率和效果。
