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Appl Health Econ Health Policy. 2021 Nov;19(6):839-855. doi: 10.1007/s40258-021-00672-2. Epub 2021 Jul 28.
3
Examining the incidence of catastrophic health expenditures and its determinants using multilevel logistic regression in Malawi.在马拉维使用多层次逻辑回归分析灾难性卫生支出的发生率及其决定因素。
PLoS One. 2021 Mar 31;16(3):e0248752. doi: 10.1371/journal.pone.0248752. eCollection 2021.
4
An empirical study on the determinants of health care expenses in emerging economies.新兴经济体医疗费用决定因素的实证研究。
BMC Health Serv Res. 2020 Aug 24;20(1):774. doi: 10.1186/s12913-020-05414-z.
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A comprehensive assessment of universal health coverage in 111 countries: a retrospective observational study.111 个国家全民健康覆盖情况的综合评估:回顾性观察研究。
Lancet Glob Health. 2020 Jan;8(1):e39-e49. doi: 10.1016/S2214-109X(19)30463-2. Epub 2019 Dec 11.
6
Impact of macro-fiscal determinants on health financing: empirical evidence from low-and middle-income countries.宏观财政决定因素对卫生筹资的影响:来自低收入和中等收入国家的实证证据
Glob Health Res Policy. 2019 Aug 9;4:21. doi: 10.1186/s41256-019-0112-4. eCollection 2019.
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8
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Health Aff (Millwood). 2017 Mar 1;36(3):531-538. doi: 10.1377/hlthaff.2016.1319.
9
Financial risk protection and universal health coverage: evidence and measurement challenges.金融风险保护与全民健康覆盖:证据与衡量挑战
PLoS Med. 2014 Sep 22;11(9):e1001701. doi: 10.1371/journal.pmed.1001701. eCollection 2014 Sep.
10
Household catastrophic health expenditures: a comparative analysis of twelve Latin American and Caribbean Countries.家庭灾难性卫生支出:对 12 个拉丁美洲和加勒比国家的比较分析。
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经合组织国家公共卫生支出和人均国内生产总值对灾难性卫生支出风险的影响。

The impact of public health expenditure and gross domestic product per capita on the risk of catastrophic health expenditures for OECD countries.

机构信息

Department of Health Management, Faculty of Health Sciences, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.

出版信息

Front Public Health. 2023 Apr 6;11:1122424. doi: 10.3389/fpubh.2023.1122424. eCollection 2023.

DOI:10.3389/fpubh.2023.1122424
PMID:37089504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10118030/
Abstract

INTRODUCTION

Catastrophic health expenditure refers to situations where households face financial ruin due to high healthcare costs. For household spending on health services, the lack of pre-payment mechanisms to equalize the low payment capacity and risk, and the inability of countries' health financing systems to fulfill their duties adequately all contribute to the creation or increase of the risk of catastrophic health expenditure. This situation has devastating effects on poor households first, but if the prevention mechanisms are insouciant, it can threaten the health system of the entire country. The research aims to assess the impact of the pre-paid financing model implementations and income levels on the ability of countries to reduce the risk of catastrophic health expenditure.

METHODS

The paragraph explains the data used in the study, which is taken from OECD countries between 2003 and 2019. It also mentions the statistical models used in the study, which are static and dynamic panel regression models.

RESULTS

The findings indicate that pre-paid financing models, such as those based on taxation, can help reduce the risk of catastrophic health expenditure. The study also reveals that income levels play a role in this regard, with countries with higher incomes being better able to reduce the risk of catastrophic health expenditure.

DISCUSSION

The study suggests that healthcare financing systems should aim to provide effective services and financial protection to improve universal health coverage and reduce the risk of catastrophic health expenditure. Further researches using different health indicators and inputs could add to the existing literature on how to limit catastrophic health expenses and address other related questions.

摘要

简介

灾难性卫生支出是指由于医疗费用过高,家庭面临财务困境的情况。对于家庭的卫生服务支出而言,缺乏预付款机制来平衡低收入能力和风险,以及国家卫生融资系统无法充分履行职责,这些都导致了灾难性卫生支出风险的产生或增加。这种情况首先对贫困家庭造成毁灭性影响,但如果预防机制漠不关心,它可能会威胁到整个国家的卫生系统。本研究旨在评估预付款融资模式的实施和收入水平对国家降低灾难性卫生支出风险能力的影响。

方法

这一段解释了研究中使用的数据,这些数据来自于 2003 年至 2019 年期间的经合组织国家。它还提到了研究中使用的统计模型,即静态和动态面板回归模型。

结果

研究结果表明,基于税收的预付款融资模式等可以帮助降低灾难性卫生支出的风险。研究还表明,收入水平在这方面发挥了作用,收入较高的国家能够更好地降低灾难性卫生支出的风险。

讨论

该研究表明,医疗保健融资系统应旨在提供有效的服务和财务保护,以改善全民健康覆盖范围并降低灾难性卫生支出的风险。使用不同的卫生指标和投入进行进一步的研究,可以丰富关于如何限制灾难性卫生支出以及解决其他相关问题的现有文献。