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新冠疫情对残疾人资金使用的影响:从澳大利亚国家残疾保险计划中汲取的经验教训

Impact of COVID-19 on Utilisation of Funds by People With Disabilities: Lessons Drawn From the Australian National Disability Insurance Scheme.

作者信息

Zhang Yu, Chand Satish

机构信息

School of Business, University of New South Wales, Canberra, ACT, Australia.

出版信息

Int J Health Policy Manag. 2023;12:7663. doi: 10.34172/ijhpm.2023.7663. Epub 2023 Sep 9.

DOI:10.34172/ijhpm.2023.7663
PMID:38618802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10590233/
Abstract

BACKGROUND

COVID-19 pandemic has affected everyone, especially people with disabilities (PwD). While there has been qualitative research on the impact of the pandemic on PwD in Australia, little quantitative evidence has been produced on the magnitude of this impact.

METHODS

A range of descriptive analytic methods are employed on the data merged from the National Disability Insurance Scheme (NDIS) and COVID-19 data on national, state, and regional levels to compare the expenditure of the NDIS participants who are in pandemic-affected regions and time periods with those that are not. Regression analysis is also performed to estimate the participants' utilisation of funds using explanatory variables drawn from the NDIS, COVID-19, and lockdown policy information.

RESULTS

Our analysis reveals that: (1) the pandemic reduced expenditure of the NDIS participants by approximately A$ 31.2 million, equal to 8.85% of the total expenditure over five quarters for the state of Victoria (VIC) alone; (2) the contractions in expenditure lasted for up to two quarters during the pandemic; (3) the reductions in expenditure were largely associated with the limited mobility imposed via lockdowns compared to the impaired access to services; and (4) the spread of COVID-19 that led to restrictions on mobility of people had a bearing on utilisation of funds by NDIS participants in the subsequent quarter.

CONCLUSION

COVID-19 has affected the expenditure of the PwD in Australia. We overlaid the NDIS data on the COVID-19 outbreaks to estimate the impact of the pandemic on expenditure and utilisation rate of the funds allocated to the NDIS participants. Our findings point to potential policy interventions to mitigate some of the adverse consequences of similar nationwide emergencies.

摘要

背景

新冠疫情影响了每个人,尤其是残疾人。虽然已有关于该疫情对澳大利亚残疾人影响的定性研究,但关于这种影响程度的定量证据却很少。

方法

运用一系列描述性分析方法,对从国家残疾保险计划(NDIS)和国家、州及地区层面的新冠疫情数据合并而来的数据进行分析,以比较受疫情影响地区和时间段内的NDIS参与者与未受影响者的支出情况。还进行了回归分析,以利用从NDIS、新冠疫情及封锁政策信息中提取的解释变量来估计参与者的资金使用情况。

结果

我们的分析表明:(1)疫情使NDIS参与者的支出减少了约3120万澳元,仅维多利亚州(VIC)五个季度的总支出就减少了8.85%;(2)支出收缩在疫情期间持续了长达两个季度;(3)支出减少主要与封锁导致的行动受限有关,而非服务获取障碍;(4)导致人员行动受限的新冠疫情传播对下一季度NDIS参与者的资金使用产生了影响。

结论

新冠疫情影响了澳大利亚残疾人的支出。我们将NDIS数据叠加在新冠疫情爆发情况上,以估计疫情对分配给NDIS参与者的资金支出和使用率的影响。我们的研究结果指出了潜在的政策干预措施,以减轻类似全国性紧急情况的一些不利后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/52ba1b45e5a3/ijhpm-12-7663-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/9ad837bbb8ea/ijhpm-12-7663-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/a67ef3736d2e/ijhpm-12-7663-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/192bdcb3d464/ijhpm-12-7663-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/52ba1b45e5a3/ijhpm-12-7663-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/9ad837bbb8ea/ijhpm-12-7663-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/a67ef3736d2e/ijhpm-12-7663-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/192bdcb3d464/ijhpm-12-7663-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24b2/10590233/52ba1b45e5a3/ijhpm-12-7663-g004.jpg

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