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国家健康保险计划下的医疗能力确定研究。

An Examination of the Determination of Medical Capacity under a National Health Insurance Program.

机构信息

Department of Health Care Management, National Taipei University of Nursing and Health Sciences, 89, Nei-Chiang St. Wan-Hua Dist. Taipei 108, Taiwan.

出版信息

Int J Environ Res Public Health. 2019 Apr 3;16(7):1206. doi: 10.3390/ijerph16071206.

DOI:10.3390/ijerph16071206
PMID:30987264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6479597/
Abstract

This paper examines the capacity determination factors of medical services at a national level through the analysis of a mathematical model that maximizes social welfare, which consists of the consumption of private goods and the medical capacity provided by the society. A sensitivity analysis is conducted to investigate the impact of these factors on the medical capacity provided. Furthermore, a case example based on the data provided by the government is presented to discuss the results derived from the theoretical analysis. The results of the sensitivity analysis indicate that individual disposable income, the medical expenditure for each treatment, the level of premium payments, and substitution parameters have a positive impact on medical capacity, while the medical costs and preference parameter negatively affect medical capacity. The results of the correlation analysis based on the data of the case example are consistent with the findings of the theoretical analysis.

摘要

本文通过分析最大化社会福利的数学模型,研究了国家层面医疗服务能力的决定因素,该模型由私人商品消费和社会提供的医疗能力组成。本文进行了敏感性分析,以考察这些因素对医疗能力的影响。此外,本文还基于政府提供的数据,给出了一个案例,以讨论理论分析的结果。敏感性分析的结果表明,个人可支配收入、每次治疗的医疗支出、保费水平和替代参数对医疗能力具有正向影响,而医疗成本和偏好参数则对医疗能力具有负向影响。基于案例数据的相关性分析结果与理论分析结果一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9902/6479597/d2f823b57cdc/ijerph-16-01206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9902/6479597/575ae8d5c202/ijerph-16-01206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9902/6479597/d2f823b57cdc/ijerph-16-01206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9902/6479597/575ae8d5c202/ijerph-16-01206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9902/6479597/d2f823b57cdc/ijerph-16-01206-g002.jpg

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Optimizing patient referral and center capacity in the management of chronic hepatitis C: Lessons from the Italian experience.优化慢性丙型肝炎管理中的患者转诊和中心容量:来自意大利经验的教训。
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Participation in preventive health check-ups among 19,351 women in Germany.德国19351名女性参与预防性健康检查情况。
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Association Between Treatment Facility Volume and Mortality of Patients With Multiple Myeloma.多发性骨髓瘤患者的治疗机构容量与死亡率之间的关联。
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Hospital Case Volume Is Associated With Improved Survival for Patients With Metastatic Melanoma.医院病例数量与转移性黑色素瘤患者生存率的提高相关。
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