人力资源和健康结果:跨国计量经济学研究
Sudhir Anand1, Till Bärnighausen
1University of Oxford, Department of Economics, Oxford, UK. sudhir.anand@economics.ox.ac.uk
Lancet (London, England)
|November 3, 2004
概括
增加卫生密度的人力资源显著降低了母婴死亡率. 对医疗保健专业人员的投资对于实现全球卫生目标和改善母婴生存率至关重要.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 人口统计学 人口统计学
背景情况:
- 关于人力资源对健康 (HRH) 对健康结果的影响的研究有限.
- 之前的研究已经得出了关于HRH-健康结果关系的相互矛盾的结论.
研究的目的:
- 用先进的方法研究HRH密度对死亡率的强度和意义.
- 分析总和特定HRH密度 (医生,护士) 与死亡率之间的关联.
主要方法:
- 进行了跨国多重回归分析.
- 孕产妇死亡率,婴儿死亡率和五岁以下儿童死亡率被用作依赖变量.
- 控制收入,女性成年人识字率和绝对收入贫困.
主要成果:
- HRH密度显著预测了所有三种死亡率 (p < 0.0036).
- 医生密度与所有死亡率有显著的负面关联 (p < 0.0029).
- 只有当收入贫困被排除在外 (p=0.0443) 时,护士密度才与孕产妇死亡率有显著的关联.
结论:
- HRH密度是孕产妇,婴儿和5岁以下儿童死亡率的关键决定因素.
- HRH密度对降低孕产妇死亡率的影响比对儿童死亡率的影响更为明显.
- 投资HRH对于实现与母亲和儿童健康有关的千年发展目标至关重要.
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