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哥伦比亚城乡医疗保健支出的洛伦兹曲线:对460万患者队列的分析。

Lorenz curves of urban and rural health care expenditure in Colombia: analysis of a cohort of 4.6 million patients.

作者信息

Espinosa Oscar, Buitrago Giancarlo, Bejarano Valeria, Castaño Ramon

机构信息

Economic Models and Quantitative Methods Research Group, Centro de Investigaciones para el Desarrollo, Universidad Nacional de Colombia, Bogotá, D.C., Colombia.

Instituto de Investigaciones Clínicas, Universidad Nacional de Colombia & Subdirección de Investigación, Fundación Cardioinfantil - Instituto de Cardiología, Bogotá, D.C., Colombia.

出版信息

Health Econ Rev. 2025 Sep 2;15(1):74. doi: 10.1186/s13561-025-00662-3.

DOI:10.1186/s13561-025-00662-3
PMID:40892198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12403389/
Abstract

In Colombia, health expenditure is highly concentrated, with a small portion of the population incurring most costs, particularly in rural areas. Men show greater inequality than women. The study suggests that current risk-adjustment models have opportunities for improvement, emphasizing the need for better health premium definitions and stronger health policies.

摘要

在哥伦比亚,卫生支出高度集中,一小部分人口承担了大部分费用,尤其是在农村地区。男性的不平等程度高于女性。该研究表明,当前的风险调整模型有改进的空间,强调需要更好地定义健康保险费并制定更有力的卫生政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b7/12403389/93b4a8c71521/13561_2025_662_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b7/12403389/93b4a8c71521/13561_2025_662_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b7/12403389/93b4a8c71521/13561_2025_662_Fig1_HTML.jpg

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本文引用的文献

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Future health expenditures and its determinants in Latin America and the Caribbean: a multi-country projection study.拉丁美洲和加勒比地区未来的医疗支出及其决定因素:一项多国预测研究。
Lancet Reg Health Am. 2024 May 31;44:100781. doi: 10.1016/j.lana.2024.100781. eCollection 2025 Apr.
2
Managed competition in Colombia: convergence of public and private insurance and delivery.哥伦比亚的管理式竞争:公共与私人保险及医疗服务提供的融合
Health Econ Policy Law. 2024 Jan 22:1-15. doi: 10.1017/S1744133123000348.
3
Characterization of the population affiliated to the subsidized health insurance scheme in Colombia: a systematic review and meta-analysis.
描述哥伦比亚补贴健康保险计划参保人群的特征:系统评价和荟萃分析。
Int J Equity Health. 2023 Feb 7;22(1):28. doi: 10.1186/s12939-022-01818-x.
4
Integrating risk adjustment and enrollee premiums in health plan payment.在健康计划支付中整合风险调整与参保人保费。
J Health Econ. 2013 Dec;32(6):1263-77. doi: 10.1016/j.jhealeco.2013.05.002.