Department of Health Management, Faculty of Health Sciences, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.
Front Public Health. 2023 Apr 6;11:1122424. doi: 10.3389/fpubh.2023.1122424. eCollection 2023.
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.
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.
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.
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.
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。
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。
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。
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。