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本文引用的文献

1
Estimating the Marginal Productivity of the English National Health Service From 2003 to 2012.估算 2003 至 2012 年英国国家医疗服务体系的边际生产力
Value Health. 2019 Sep;22(9):995-1002. doi: 10.1016/j.jval.2019.04.1926. Epub 2019 Jun 18.
2
The impact of NHS expenditure on health outcomes in England: Alternative approaches to identification in all-cause and disease specific models of mortality.英国国民医疗服务体系(NHS)支出对健康结果的影响:全因死亡率和特定疾病死亡率模型中识别的替代方法。
Health Econ. 2018 Jun;27(6):1017-1023. doi: 10.1002/hec.3650. Epub 2018 Apr 2.
3
Keeping up with the Johanssons: How does UK health spending compare internationally?跟上约翰松一家:英国的医疗支出在国际上情况如何?
BMJ. 2017 Aug 3;358:j3568. doi: 10.1136/bmj.j3568.
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Return on investment of public health interventions: a systematic review.公共卫生干预措施的投资回报:系统评价。
J Epidemiol Community Health. 2017 Aug;71(8):827-834. doi: 10.1136/jech-2016-208141. Epub 2017 Mar 29.
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Organizational update: the world health organization global status report on noncommunicable diseases 2014; one more landmark step in the combat against stroke and vascular disease.组织动态:《2014年世界卫生组织非传染性疾病全球状况报告》;抗击中风和血管疾病的又一里程碑式进展。
Stroke. 2015 May;46(5):e121-2. doi: 10.1161/STROKEAHA.115.008097. Epub 2015 Apr 14.
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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.

DOI:10.7861/futurehosp.6-2-99
PMID:31363514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6616184/
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。