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罗马尼亚降低心血管疾病死亡率的卫生政策。

Health Policies in Romania to Reduce the Mortality Caused by Cardiovascular Diseases.

机构信息

Institute for Economic Forecasting of the Romanian Academy, 050711 Bucharest, Romania.

Faculty of Management, Rzeszow University of Technology, 35-959 Rzeszów, Poland.

出版信息

Int J Environ Res Public Health. 2019 Aug 24;16(17):3080. doi: 10.3390/ijerph16173080.

Abstract

Cardiovascular diseases (CVDs) are the main cause of death in Romania. The objective of the paper is to explain the number of deaths caused by the diseases of circulatory system in relation to health expenditures per capita, the number of public hospitals with cardiology sections and the number of cardiologists. The analysis in the paper is based on panel data models and Bayesian linear models. A panel data approach for Romanian macro-regions in the period from 1995-2016 was used to show that an increase in the number of cardiologists would reduce the number of deaths caused by the diseases of circulatory system. The Bayesian approach to national data indicated that the increase in expenditures per capita would alleviate the incidence of deaths caused by CVD. The public health policies in relation to patients with CVD should focus on the future on higher expenditures per person, but the number of public hospitals and doctors treating these diseases should also continue to grow. Future healthcare policies should be also focused on reducing the number of specialists migrating to wealthier countries.

摘要

心血管疾病(CVDs)是罗马尼亚的主要死因。本文的目的是解释循环系统疾病导致的死亡人数与人均卫生支出、设有心脏病科的公立医院数量以及心脏病专家数量之间的关系。本文的分析基于面板数据模型和贝叶斯线性模型。使用 1995-2016 年期间罗马尼亚各地区的面板数据方法表明,心脏病专家人数的增加将减少循环系统疾病导致的死亡人数。针对全国数据的贝叶斯方法表明,人均支出的增加将减轻 CVD 导致的死亡发生率。与 CVD 患者有关的公共卫生政策未来应重点关注每个人更高的支出,但治疗这些疾病的公立医院和医生的数量也应继续增加。未来的医疗保健政策还应侧重于减少向富裕国家移民的专家人数。

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