提供一个模型,用于资助生物危机期间的治疗成本,使用财政空间发展方法
Maryam Yaghoubi1, Masoud Vahedi Idehlo2, Parisa Mehdizadeh1
1Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Health economics review
|August 1, 2023
概括
本研究提出了一种在生物危机期间为医疗治疗费用提供资金的模型. 关键战略包括增加卫生部门资源,提高支出效率,实施结构性改革以更好地应对危机.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 在生物危机期间,扩大对健康的财政空间至关重要.
- 本研究开发了一个模型,使用财政空间方法在此类事件期间为治疗费用提供资金.
研究的目的:
- 模拟生物危机期间医疗保健治疗成本的融资机制.
- 确定和优先考虑扩大卫生部门财政空间的战略.
主要方法:
- 一个描述性的混合方法设计,涉及系统的文献审查和专家共识.
- 对45项研究进行了系统审查,随后专家通过公开问卷确定了策略.
- 基于可行性,有效性,快速收益和公平性,使用最佳最差方法 (BWM) 优先考虑战略.
主要成果:
- 确定了五个主要战略和50个子战略,并确定了优先级.
- 关键战略包括增加卫生部门特定资源 (38.89%),提高支出效率 (27.78%) 和结构改革 (11.11%).
- 最重要的子策略包括为健康预留税,扩大全民健康覆盖 (UHC) 和参与非政府组织 (NGO).
结论:
- 该研究确定了在生物危机期间为卫生支出提供资金的关键策略.
- 优先考虑增加卫生部门的资源,效率和结构性改革至关重要.
- 建议包括利用对有害货物的税收,扩大UHC,并利用非政府组织的能力.
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