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新兴经济体的自付医疗保健支出:来自面板数据分析的证据。

Out-of-pocket healthcare expenditure in emerging economies: Evidence from panel data analysis.

作者信息

Kaladharan Sanju, Manayath Dhanya

机构信息

Amrita Vishwa Vidyapeetham, Kochi, India.

出版信息

J Med Access. 2024 Aug 20;8:27550834241262108. doi: 10.1177/27550834241262108. eCollection 2024 Jan-Dec.

Abstract

BACKGROUND

Achieving universal health coverage is one of the prominent targets of the United Nations' sustainable development goals. Reducing out-of-pocket expenditure (OOPE) is essential because high OOPE can deter the use of healthcare services, which can lead to poor health outcomes and medical impoverishment.

OBJECTIVES

The study sought to determine the effects of various factors such as Domestic General Government Health Expenditure, Gross Domestic Product, Government schemes and compulsory contributory healthcare financing schemes, and Voluntary health insurance schemes on OOPE per Capita in emerging economies.

DESIGN

Econometric methods using panel data.

DATA SOURCES AND METHODS

The study analyzed the publicly available panel data from the World Health Organization using fixed, random, and dynamic models.

RESULTS

Domestic General Government Health Expenditure and Gross Domestic Product are associated with an increase in OOPE. Government schemes, compulsory contributory healthcare financing schemes, and voluntary health insurance programs are linked to a reduction in OOPE.

CONCLUSION

In conclusion, this study, conducted through econometric methods on panel data, sheds light on the critical importance of reducing OOPE to achieve universal health coverage, aligning with the United Nations' sustainable development goals. Countries shall implement a holistic approach focusing on preventive healthcare and health promotion, providing comprehensive health insurance, strengthening public health systems, and regulating medicine prices.

摘要

背景

实现全民健康覆盖是联合国可持续发展目标的重要目标之一。减少自付费用至关重要,因为高额自付费用会阻碍医疗服务的使用,进而导致健康状况不佳和医疗贫困。

目的

该研究旨在确定国内一般政府卫生支出、国内生产总值、政府计划、强制性缴费型医疗融资计划以及自愿健康保险计划等各种因素对新兴经济体人均自付费用的影响。

设计

使用面板数据的计量经济学方法。

数据来源与方法

该研究使用固定效应模型、随机效应模型和动态模型分析了世界卫生组织公开提供的面板数据。

结果

国内一般政府卫生支出和国内生产总值与自付费用的增加相关。政府计划、强制性缴费型医疗融资计划和自愿健康保险计划与自付费用的减少相关。

结论

总之,这项通过对面板数据采用计量经济学方法进行的研究,揭示了减少自付费用对于实现全民健康覆盖的至关重要性,这与联合国可持续发展目标相一致。各国应采取整体方法,注重预防保健和健康促进,提供全面的健康保险,加强公共卫生系统,并规范药品价格。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f12/11337179/6e583cd6e5cd/10.1177_27550834241262108-fig1.jpg

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