Dondo Mariana, Monsalvo Mauricio, Garibaldi Lucas A
Universidad Nacional de Río Negro, Bariloche, Argentina.
Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina.
Cad Saude Publica. 2016 Jan;32(1). doi: 10.1590/0102-311X00012215. Epub 2016 Feb 16.
Medicines are an important part of household health spending. A progressive system for financing drugs is thus essential for an equitable health system. Some authors have proposed that the determinants of equity in drug financing are socioeconomic, demographic, and associated with public interventions, but little progress has been made in the empirical evaluation and quantification of their relative importance. The current study estimated quantile regressions at the provincial level in Argentina and found that old age (> 65 years), unemployment, the existence of a public pharmaceutical laboratory, treatment transfers, and a health system orientated to primary care were important predictors of progressive payment schemes. Low income, weak institutions, and insufficient infrastructure and services were associated with the most regressive social responses to health needs, thereby aggravating living conditions and limiting development opportunities.
药品是家庭医疗支出的重要组成部分。因此，一个渐进的药品融资体系对于公平的医疗体系至关重要。一些作者提出，药品融资公平性的决定因素是社会经济、人口统计学方面的，并且与公共干预措施相关，但在对其相对重要性的实证评估和量化方面进展甚微。当前的研究估计了阿根廷省级层面的分位数回归，发现老年（>65岁）、失业、公立制药实验室的存在、治疗转移以及以初级保健为导向的医疗体系是渐进支付方案的重要预测因素。低收入、机构薄弱以及基础设施和服务不足与对健康需求最具累退性的社会反应相关，从而加剧了生活条件并限制了发展机会。
