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政府债务危机及其对国家卫生系统的影响:对希腊的回顾性研究与政策建议

Government Debt Crisis and the Impact on National Health Systems: A Retrospective Study and Policy Recommendations to Greece.

作者信息

Diamantis Evangelos, Charalampopoulos Vasileios, Damaskos Christos, Farmaki Paraskevi, Garmpis Nikolaos, Garmpi Anna, Patsouras Alexandros, Kyriakos Georgios, Savvanis Spyridon, Georgakopoulou Vasiliki E, Trakas Nikolaos, Kounetas Kostas

机构信息

Internal Medicine: Diabetes and Endocrinology, Evangelismos Hospital, Athens, GRC.

Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GRC.

出版信息

Cureus. 2020 Oct 4;12(10):e10786. doi: 10.7759/cureus.10786.

Abstract

This article aims to explore the impact of the government debt crisis on the national health system (NHS) using a representative sample of respondents in Greek hospitals and provides certain suggestions regarding health policies that could be implemented at the national or local level. This study was conducted at the Evangelismos & Eye Polyclinic of Athens General Hospital in Athens, Greece. The study period was January and February of 2016, and the study included 600 outpatients who frequently submitted to follow-ups and consented to participate. Based on the results of this study, the participants had an average health status, while 94.2% of them had medical insurance. The predominant reason (88%) for choosing public hospitals instead of private practices was insufficient income. Further investigation revealed a significant positive correlation between the participant's age and the number of hospital visits, the number of medical tests performed, and their satisfaction from the health services provided. Finally, a probit-model was used in order to study factors that could potentially influence their level of satisfaction from the services they used.

摘要

本文旨在通过对希腊医院有代表性的受访者样本进行研究,探讨政府债务危机对国家卫生系统(NHS)的影响,并就可在国家或地方层面实施的卫生政策提出一些建议。本研究在希腊雅典综合医院的福音传道会眼科门诊进行。研究期间为2016年1月和2月,研究对象包括600名经常接受随访并同意参与的门诊患者。根据本研究结果,参与者的健康状况一般,其中94.2%拥有医疗保险。选择公立医院而非私人诊所的主要原因(88%)是收入不足。进一步调查发现,参与者的年龄与就诊次数、进行的医学检查数量以及他们对所提供医疗服务的满意度之间存在显著正相关。最后,使用了一个概率模型来研究可能影响他们对所使用服务满意度水平的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59fe/7608093/5383f53130b2/cureus-0012-00000010786-i01.jpg

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