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社会经济地位导致的等待时间不平等——一种可能的因果机制。

Inequalities in waiting times by socioeconomic status - a possible causal mechanism.

机构信息

Myers JDC Brookdale Institute, JDC Hill, POB 3886, Jerusalem, 91037 Israel ; School of Public Health, Haifa University, Haifa, Israel.

出版信息

Isr J Health Policy Res. 2015 Jan 26;4:2. doi: 10.1186/2045-4015-4-2. eCollection 2015.

Abstract

Much like waiting times for health services, the shortage of physicians and other health professionals poses a major health policy issue in many OECD countries. In this short commentary, I present indications that in Israel's periphery, the demand for advanced health services exceeds supply. This gap creates inequality in waiting times "across" geographical areas in the public sector and, moreover, could act as a causal mechanism of socioeconomic inequality. As a result, policymakers face two challenges: first, to increase the number of physicians in specialties and localities where there is a lack; and second, to take steps to enhance waiting time equality in areas of obvious shortages.

摘要

与医疗服务的等待时间类似,医生和其他卫生专业人员的短缺是许多经合组织国家的一个主要卫生政策问题。在这篇简短的评论中,我提出了一些迹象表明,在以色列的边缘地区,对高级卫生服务的需求超过了供应。这种差距造成了公共部门不同地理区域之间的等待时间不平等,而且,这可能是社会经济不平等的一个因果机制。因此,政策制定者面临两个挑战:首先,要增加缺乏专业知识和缺乏地区的医生数量;其次,要采取措施,在明显短缺的地区,提高等待时间的平等性。

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Inequalities in waiting times by socioeconomic status.候诊时间在社会经济地位方面的不平等。
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本文引用的文献

1
Inequalities in waiting times by socioeconomic status.候诊时间在社会经济地位方面的不平等。
Isr J Health Policy Res. 2014 Nov 27;3(1):38. doi: 10.1186/2045-4015-3-38. eCollection 2014.
2
Measuring and comparing health care waiting times in OECD countries.经合组织国家医疗保健等待时间的测量与比较。
Health Policy. 2014 Dec;118(3):292-303. doi: 10.1016/j.healthpol.2014.08.011. Epub 2014 Sep 1.
3
Waiting times and socioeconomic status: evidence from England.等候时间与社会经济地位:来自英格兰的证据。
Soc Sci Med. 2012 May;74(9):1331-41. doi: 10.1016/j.socscimed.2011.12.049. Epub 2012 Feb 21.

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