2010年至2019年间智利公共卫生系统的效率和生产力
Rony Lenz-Alcayaga1, Luciano Páez-Pizarro1
1Núcleo Académico Instituto de Salud Pública, Universidad Andrés Bello, Santiago, Chile.
Medwave
|July 28, 2023
概括
尽管医疗保健支出不断增加,但国家卫生基金受益者医疗保健产量并没有跟上步伐,导致支出效率下降和劳动生产率低,影响医疗保健的获取.
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
- 医疗保健管理的管理
背景情况:
- 卫生支出大幅增加.
- 国家卫生基金旨在确保受益人获得医疗保健.
- 评估医疗保健支出效率至关重要.
研究的目的:
- 评估国家卫生服务系统的技术效率.
- 分析卫生支出与医疗保健生产之间的关系.
- 调查平均生产成本和劳动生产率的趋势.
主要方法:
- 观察性,描述性和回顾性纵向研究.
- 对2010年至2019年的数据进行分析.
- 使用平均成本和劳动生产率估计技术效率.
主要成果:
- 医疗保健产量每年增长了6%左右.
- 劳动力增长了61%,工资支出实际上上升了106%.
- 支出效率下降了21%,劳动生产率每年仅增长0.6%.
结论:
- 增加的医疗支出与产出比例增加没有相关性.
- 低生产率阻碍了获得医疗保健的机会,并增加了等待列表.
- 公共部门的增长取决于劳动力扩张,而不是效率增长.
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