一个面板向量自回归分析用于医疗和长期护理支出动态
Shinya Sugawara1, Tsunehiro Ishihara2, Susumu Kunisawa3
1Tokyo University of Science, Shinjuku-ku, Japan.
Health economics
|December 30, 2023
概括
这项研究揭示了老年护理的节省成本的转变,从急性医疗护理转向家庭服务. 在日本,加强正式的长期护理有助于控制成本,尽管人口老龄化.
科学领域:
- 老年学是一门学科.
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 老年人的医疗和长期护理支出是相互关联的,但很难动态分析.
- 了解这些关系对于有效的医疗保健和社会政策规划至关重要.
研究的目的:
- 分析老年人医疗和长期护理支出之间的动态关系.
- 调查护理服务中相互依存和成本转变的模式.
主要方法:
- 用一个新的面板向量自回归模型进行统计分析.
- 分析了日本一座城市的个人的月度面板数据,该城市为长期护理提供了全面的社会保险.
主要成果:
- 确定了从急性医疗护理到家庭医疗护理,然后到家庭长期护理的跨时代过渡.
- 发现,尽管人口老龄化,日本的正式长期护理部门可能抑制了总护理成本.
- 托儿所服务具有多种作用 (休息,康复),但从门诊康复过渡到门诊康复是有限的.
结论:
- 加强正式的长期护理服务是管理老龄化人口护理成本的关键因素.
- 政策干预应考虑诸如日托等服务的多面性作用,并优化护理连续性内的过渡.
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