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国家卫生系统的比较效率:跨国计量经济学分析。

Comparative efficiency of national health systems: cross national econometric analysis.

作者信息

Evans D B, Tandon A, Murray C J, Lauer J A

机构信息

Global Programme on Evidence for Health Policy, World Health Organization, 1211 Geneva 27, Switzerland.

出版信息

BMJ. 2001 Aug 11;323(7308):307-10. doi: 10.1136/bmj.323.7308.307.

DOI:10.1136/bmj.323.7308.307
PMID:11498486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC37316/
Abstract

OBJECTIVE

To improve the evidence base for health policy by devising a method to measure and monitor the performance of health systems.

DESIGN

Estimation of the relation between levels of population health and the inputs used to produce health.

SETTING

191 countries.

MAIN OUTCOME MEASURE

Health system efficiency (performance).

RESULTS

Estimated efficiency varied from nearly fully efficient to nearly fully inefficient. Countries with a history of civil conflict or high prevalence of HIV and AIDS were less efficient. Performance increased with health expenditure per capita.

CONCLUSIONS

Increasing the resources for health systems is critical to improving health in poor countries, but important gains can be made in most countries by using existing resources more efficiently.

摘要

目的

通过设计一种衡量和监测卫生系统绩效的方法,改进卫生政策的证据基础。

设计

估计人口健康水平与用于产生健康的投入之间的关系。

地点

191个国家。

主要观察指标

卫生系统效率(绩效)。

结果

估计的效率从几乎完全高效到几乎完全低效不等。有内战历史或艾滋病毒/艾滋病高流行率的国家效率较低。绩效随着人均卫生支出的增加而提高。

结论

增加卫生系统资源对于改善贫穷国家的健康状况至关重要,但在大多数国家,通过更有效地利用现有资源可以取得重大进展。

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