苏联的慈善实体的增加:这个场景揭示了什么?
João Felipe Marques da Silva1, Brígida Gimenez Carvalho2, Adelyne Maria Mendes Pereira3
1Universidade Estadual de Londrina. Programa de Pós Graduação em Saúde Coletiva. Londrina, PR, Brasil.
Revista de saude publica
|June 28, 2023
概括
许多私人医疗机构正在从营利性转变为非营利性,但仍然以利动机运作. 这种转型是由政策和税收豁免推动的,表明医疗保健服务的隐藏商品化.
科学领域:
- 卫生政策和法律卫生政策和法律
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 分析私人医疗保健提供者从营利性到非营利性的法律地位的转变.
- 探索这种转型对医疗保健服务提供和可访问性的影响.
- 在医疗保健市场化更广泛的趋势中进行上下文化.
研究的目的:
- 调查巴西私人医疗机构法律性质的变化.
- 为了确定这些实体,尽管法律重新分类,保持以利为导向的运营行为.
- 了解国家政策和法律豁免在这种现象中的作用.
主要方法:
- 探索性研究设计.探索性研究设计.
- 政策分析框架应用程序.
- 分析2012年至2020年间来自国家卫生设施登记处 (CNES) 的二次数据.
- 包含一个案例研究以进行深入分析.
主要成果:
- 在所有地区,私人医疗机构重新归类为非营利性机构的数量有所增加.
- 有证据表明,这些非营利性实体表现出以利为导向的组织的特征行为.
- 法律重新分类似乎掩盖了医疗保健服务的潜在商品化.
结论:
- 转向私人医疗保健中的非营利性地位是一个复杂的现象,受到政策的影响.
- 这些变化可能会促进医疗保健的隐性商品化,可能会影响服务的可访问性和公平性.
- 需要进一步的研究才能充分理解这些政策驱动的转型的长期后果.
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