Hilsenrath Peter, Hill James, Levey Samuel
Department of Health Management and Policy, University of North Texas Health Science Center, Fort Worth, USA.
J Health Care Finance. 2004 Summer;30(4):14-20.
This analysis explores the role of the private sector relative to all health spending among Organization for Economic Cooperation and Development (OECD) countries. Bi-variate regression was employed for 31 countries using current data. It was found that the share of GDP allocated to health varies among countries, ranging from 5 percent in Turkey to 14 percent in the United States. Variation in per capita income explains much of this difference but other factors are important too. One appears to be the role of the private sector in financing health expenditures. Our analysis concludes that concern about rising health sector costs should be placed in a larger context: rising health care costs may be justified if benefits are large enough and cover the opportunity costs of alternative uses of resources.
本分析探讨了经济合作与发展组织(经合组织)国家中私营部门在所有卫生支出中所占的比重。利用现有数据,对31个国家进行了双变量回归分析。研究发现,各国用于卫生的国内生产总值(GDP)占比各不相同,从土耳其的5%到美国的14%不等。人均收入的差异在很大程度上解释了这种不同,但其他因素也很重要。其中一个因素似乎是私营部门在卫生支出融资方面的作用。我们的分析得出结论,对卫生部门成本上升的担忧应放在更宏观的背景下考量:如果收益足够大且涵盖了资源其他用途的机会成本,那么医疗成本上升可能是合理的。