运用灰色关联分析和香农熵评估东地中海区域（EMR）国家的卫生系统融资情况。
Evaluating the health system financing of the Eastern Mediterranean Region (EMR) countries using Grey Relation Analysis and Shannon Entropy.
作者信息
Pourmohammadi Kimia, Shojaei Payam, Rahimi Hamed, Bastani Peivand
机构信息
1Health Care Management, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
2Department of Management, Shiraz University, Shiraz, Iran.
出版信息
Cost Eff Resour Alloc. 2018 Sep 17;16:31. doi: 10.1186/s12962-018-0151-6. eCollection 2018.
BACKGROUND
Sufficient and sustainable financing of the health system is essential for improving the health of the community. The health systems financing of the EMR countries is facing the challenge. Assessment and ranking of healthcare financing can help identify and resolve some challenges of health systems. So, the aim of this study is to evaluate and rank the condition of the health sector financing in the EMR countries.
METHODS
This study was a cross-sectional study. The data was of secondary type, extracted from the official WHO and World Bank data. The six healthcare financing indicators in a 10-year interval (2005-2014) in 19 EMR countries analyzed using Grey Relation Analysis and Shannon Entropy.
RESULTS
On average, the countries in the EMR region spent 4.87% of their GDP on the health sector. Jordan and Qatar allocated the highest (8.313) and the lowest (2.293) percentages of their GDP to the health sector, respectively. The results showed That Qatar was in a better condition than other EMR countries during 2005-2014 in terms of the health system financing and earned the first rank. After that, the UAE and Kuwait were ranked second and third.
CONCLUSIONS
There is a lot of inequality among the EMR countries in terms of health financing. However, our findings confirmed that only increasing the total health expenditure in a country would not improve its financing status compared to other countries, but it also depends on financing methods.
背景
卫生系统充足且可持续的融资对于改善社区健康至关重要。东地中海区域国家的卫生系统融资正面临挑战。医疗保健融资的评估和排名有助于识别和解决卫生系统的一些挑战。因此，本研究的目的是评估东地中海区域国家卫生部门融资状况并进行排名。
方法
本研究为横断面研究。数据为二手数据，从世界卫生组织和世界银行的官方数据中提取。使用灰色关联分析和香农熵对19个东地中海区域国家在10年期间（2005 - 2014年）的六项医疗保健融资指标进行了分析。
结果
东地中海区域国家平均将其国内生产总值的4.87%用于卫生部门。约旦和卡塔尔分别将其国内生产总值的最高（8.313）和最低（2.293）百分比分配给卫生部门。结果表明，在2005 - 2014年期间，卡塔尔在卫生系统融资方面比其他东地中海区域国家状况更好，位居第一。此后，阿联酋和科威特分别排名第二和第三。
结论
东地中海区域国家在卫生融资方面存在很大不平等。然而，我们的研究结果证实，与其他国家相比，仅增加一个国家的卫生总支出并不能改善其融资状况，这还取决于融资方式。
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