研究伊朗实验室服务的后期道德风险
Seyed Alireza Otobideh1, Hasan Yusefzadeh1, Siamak Aghlmand1
1Department of Health Management and Economics, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran.
Health policy OPEN
|June 29, 2023
概括
伊朗的医疗保险虽然覆盖了大多数公民,但导致了实验室服务使用的后期道德风险. 这项研究发现,保险和女性的使用率显著增加,其中9%的服务归因于这种行为.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗服务 研究 研究 研究 医疗服务
背景情况:
- 基本医疗保险覆盖了90%以上的伊朗人口.
- 现有的保险框架没有有效地组织推系统.
- 这导致了有利于医疗利用后期道德风险的条件.
研究的目的:
- 调查事后道德风险的存在和程度.
- 分析其对使用高消耗实验室服务 (血液和尿液检测) 的影响.
- 确定与保险人和未保险人群中服务利用率增加相关的因素.
主要方法:
- 一项基于人口的横截面研究在乌尔米亚市进行.
- 随机选择了550名15岁及以上的个人.
- 通过问卷收集数据,并使用赔率比率和后勤回归分析利用率.
主要成果:
- 作为女性 (OR: 2.38) 和拥有医疗保险 (OR: 2.03) 是利用选定的实验室服务的重要预测因素.
- 大约9%的提供实验室服务归因于事后的道德风险.
- 该研究确定了前后道德风险的显著预测大小.
结论:
- 后期道德风险是伊朗医疗保险体系中利用实验室服务的一个重要问题.
- 需要对政策进行修改,重点关注保费确定和成本共享计划.
- 控制医生作为初级服务申请人的行为对于减轻这种危险至关重要.
相关概念视频
Ethics in Research
23.1K
Today, scientists agree that good research is ethical in nature and is guided by a basic respect for human dignity and safety. However, this has not always been the case. Modern researchers must demonstrate that the research they perform is ethically sound.
23.1K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
148
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
148
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Hazard Ratio
166
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
166
Hazard Rate
139
The hazard rate, also known as the hazard function or failure rate, is a statistical measure used to describe the instantaneous rate at which an event occurs, given that the event has not yet happened. From a probabilistic perspective, it represents the likelihood that a subject will experience the event in a very small time interval, conditional on surviving up to the beginning of that interval. In terms of frequency, the hazard rate can be viewed as the ratio of the number of events to the...
139
Actuarial Approach
99
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
99


