1995年至2015年间49个地区的医疗保健系统的资源足迹及其获取和质量:输入输出分析
Baptiste Andrieu1, Laurie Marrauld2, Olivier Vidal3
1Institut de Sciences de la Terre (ISTerre), CNRS-University of Grenoble, Grenoble, France; The Shift Project, Paris, France.
The Lancet. Planetary health
|September 6, 2023
概括
医疗保健系统 医疗保健系统
科学领域:
- 环境科学和公共卫生研究.
- 全球资源管理和可持续性研究.
背景情况:
- 医疗保健对环境的影响往往只集中在温室气体排放上.
- 需要对医疗保健系统的资源足迹,依赖性和效率进行更广泛的评估.
研究的目的:
- 从1995年到2015年,分析医疗保健系统资源足迹,依赖性和效率的演变.
- 调查这些因素与医疗保健获取和质量指数 (HAQ) 之间的关系.
主要方法:
- 在49个医疗保健系统的输入输出分析中,使用了协调的EXIOBASE和世界卫生组织数据.
- 面板数据分析以将HAQ指数与人均能源足迹相关联.
主要成果:
- 医疗保健系统的资源足迹 (非金属矿物,金属矿石,化石燃料) 显著增加,其中中国是主要贡献者.
- 许多医疗保健系统高度依赖进口化石燃料.
- 人均能源足迹和HAQ指数之间存在强烈的指数相关性,尽管效率没有提高.
结论:
- 医疗保健资源消费量与HAQ指数呈指数级相关,需要预防和效率措施.
- 高收入国家可能需要优先考虑减少资源或跨部门转移,以管理医疗保健的足迹.
- 提出一个新的HAQE (医疗保健获取,质量和效率) 指数,将资源效率纳入系统排名.
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