Suppr超能文献

金砖国家的卫生系统结果及其与经济背景的关系。

Health System Outcomes in BRICS Countries and Their Association With the Economic Context.

机构信息

Department of Health Policy, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Bytom, Poland.

Department of Health Economics and Management, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, Bytom, Poland.

出版信息

Front Public Health. 2020 Mar 31;8:80. doi: 10.3389/fpubh.2020.00080. eCollection 2020.

Abstract

The aim of the article is to compare health system outcomes in the BRICS countries, assess the trends of their changes in 2000-2017, and verify whether they are in any way correlated with the economic context. The indicators considered were: nominal and per capita current health expenditure, government health expenditure, gross domestic product (GDP) per capita, GDP growth, unemployment, inflation, and composition of GDP. The study covered five countries of the BRICS group over a period of 18 years. We decided to characterize countries covered with a dataset of selected indicators describing population health status, namely: life expectancy at birth, level of immunization, infant mortality rate, maternal mortality ratio, and tuberculosis case detection rate. We constructed a unified synthetic measure depicting the performance of individual health systems in terms of their outcomes with a single numerical value. Descriptive statistical analysis of quantitative traits consisted of the arithmetic mean (xsr), standard deviation (SD), and, where needed, the median. The normality of the distribution of variables was tested with the Shapiro-Wilk test. Spearman's rho and Kendall tau rank coefficients were used for correlation analysis between measures. The correlation analyses have been supplemented with factor analysis. We found that the best results in terms of health care system performance were recorded in Russia, China, and Brazil. India and South Africa are noticeably worse. However, the entire group performs visibly worse than the developed countries. The health system outcomes appeared to correlate on a statistically significant scale with health expenditures per capita, governments involvement in health expenditures, GDP per capita, and industry share in GDP; however, these correlations are relatively weak, with the highest strength in the case of government's involvement in health expenditures and GDP per capita. Due to weak correlation with economic background, other factors may play a role in determining health system outcomes in BRICS countries. More research should be recommended to find them and determine to what extent and how exactly they affect health system outcomes.

摘要

本文旨在比较金砖国家的卫生系统成果,评估 2000 年至 2017 年期间这些变化的趋势,并验证这些变化是否与经济背景存在任何关联。所考虑的指标包括:名义和人均现行卫生支出、政府卫生支出、人均国内生产总值(GDP)、GDP 增长率、失业率、通货膨胀率以及 GDP 构成。本研究涵盖了金砖国家中的五个国家,时间跨度为 18 年。我们决定使用一组描述人口健康状况的选定指标来描述所涵盖的国家,这些指标包括:出生时预期寿命、免疫水平、婴儿死亡率、孕产妇死亡率和肺结核检出率。我们构建了一个统一的综合指标,用单个数值来描述各个卫生系统的绩效。对定量特征进行描述性统计分析,包括算术平均值(xsr)、标准差(SD),在需要的情况下还包括中位数。使用 Shapiro-Wilk 检验测试变量分布的正态性。使用 Spearman's rho 和 Kendall tau 秩系数进行度量之间的相关性分析。相关性分析补充了因子分析。我们发现,在卫生保健系统绩效方面,俄罗斯、中国和巴西的表现最好。印度和南非的表现明显较差。然而,整个集团的表现明显逊于发达国家。卫生系统成果与人均卫生支出、政府对卫生支出的参与、人均 GDP 和工业在 GDP 中的份额在统计学上呈显著相关;然而,这些相关性相对较弱,政府对卫生支出和人均 GDP 的参与程度最高。由于与经济背景的相关性较弱,其他因素可能在决定金砖国家卫生系统成果方面发挥作用。应该推荐更多的研究来发现这些因素,并确定它们在多大程度上以及如何具体影响卫生系统成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/7136407/37c521ebd41a/fpubh-08-00080-g0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验