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健康与护理支出及其价值,过去、现在与未来。

Health and care spending and its value, past, present and future.

作者信息

Watt Toby, Charlesworth Anita, Gershlick Ben

机构信息

The Health Foundation, London, UK.

出版信息

Future Healthc J. 2019 Jun;6(2):99-105. doi: 10.7861/futurehosp.6-2-99.

Abstract

In times of relatively low public spending in the UK since 2009-2010, health spending has been protected above all else. At the same time budgets for education, housing and public safety have fallen. This is in part due to the presence of growing demand for healthcare: while the population has increased by around one-third since 1950, healthcare spending as a share on national income has more than doubled. Continuing increases in quantity and complexity of the use of the health service as well as the unit costs indicate that these pressures will not be alleviated any time soon. However, there are clear benefits to investing in health; research finds that a 10% increase in health spending was associated with a gain of 3.5 months of life expectancy across the Organisation for Economic Co-operation and Development from 1995 to 2015. In this paper, we discuss the potential value of additional -spending.

摘要

自2009 - 2010年以来,在英国公共支出相对较低的时期,医疗支出受到了首要保护。与此同时,教育、住房和公共安全方面的预算却有所下降。部分原因在于对医疗保健的需求不断增长:自1950年以来,人口增长了约三分之一,而医疗保健支出在国民收入中的占比却增加了一倍多。医疗服务使用的数量和复杂性以及单位成本的持续上升表明,这些压力短期内不会得到缓解。然而,投资于医疗保健有明显的好处;研究发现,1995年至2015年期间,经济合作与发展组织各国的医疗支出增加10%,预期寿命就会延长3.5个月。在本文中,我们将讨论额外支出的潜在价值。

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