退休对住院医疗利用的影响:中国的一项观察性研究
Xin Ye1,2, Wentao Li3, Yanshang Wang3,4
1Institute for Global Public Policy, Fudan University, Shanghai, China.
BMJ open
|January 23, 2024
概括
退休似乎减少了住院医疗的利用率,包括药物支出和住院时间. 这些影响在患有慢性疾病或通过门诊服务入院的人群中更为明显.
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
- 老年学是一门学科.
背景情况:
- 关于退休对医疗保健利用的影响的先前研究显示了不一致的发现.
- 了解这种关系对于医疗保健系统规划和政策制定至关重要.
研究的目的:
- 调查退休对中国住院医疗保健利用的因果关系.
- 探索这种影响如何因性别,疾病类型和入院方法而异.
主要方法:
- 使用中国376家三级医院 (2013-2018) 电子病历的回顾性观察性研究.
- 采用非参数模糊回归不连续性设计,使用强制退休年龄作为工具变量.
主要成果:
- 退休显著降低了药物支出和每次访问的住院日数.
- 由于慢性疾病或通过门诊服务入院的个人,医疗保健利用率的减少尤其显著.
- 观察到性别特异性影响,男性的诊断测试和药物支出减少,女性的住院治疗日减少.
结论:
- 退休与中国住院医疗利用率的减少有关.
- 决策者应该考虑退休政策对医疗保健资源分配和利用的更广泛影响.
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