未满足的需求和医疗保健系统慷慨对预防活动的影响 - - 多层次分析
Shuli Brammli-Greenberg1, Boaz Hovav2
1The Hebrew University-Hadassah Braun School of Public Health and Community Medicine, Israel.
Social science & medicine (1982)
|December 8, 2023
概括
没有满足需求的个人更少参与预防性护理. 在更慷慨的医疗保健系统中,这种差异越来越大,突出了国家在确保公平获得预防服务方面的作用.
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
- 社会流行病学 社会流行病学
背景情况:
- 社会经济地位和未满足的需求与预防性医疗保健的利用相反.
- 医疗保健系统的慷慨可能会影响未满足的需求和预防活动之间的关系.
研究的目的:
- 调查医疗保健系统的慷慨如何缓和个人未满足需求对预防活动的影响.
- 分析健康生活方式和预防护理中的社会经济不平等.
主要方法:
- 利用了来自欧洲健康,老龄化和退休调查 (SHARE) 第8波 (2019-2020) 和经合组织健康统计数据的数据.
- 采用了一个计量经济学两级模型,研究了来自27个国家的50岁以上的46,500名50岁以上的个人.
- 评估了五项预防活动 (体育,吸烟,接种疫苗,癌症查) 和未满足需求的状态.
主要成果:
- 个人未得到满足的需求对所有预防活动,包括健康的生活方式和查,产生了显著的负面影响.
- 社会/公共保险,医疗支出和护士人数对预防活动产生了积极的影响.
- 在更慷慨的医疗保健系统中,有和没有未满足需求的人在预防活动中的差异更大或相似.
结论:
- 医疗保健系统的慷慨与预防护理中的社会经济不平等相互作用.
- 国家在为所有人提供可访问的预防服务方面发挥着至关重要的作用,特别是对有未满足需求的弱势群体.
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