经济发展如何影响残疾人获得医疗保健:中国的一项多层次研究
Hongchuan Wang1,2, Zhe Chen2, Zhihui Li3
1School of Public Policy & Management, Tsinghua University, 100084, Beijing, China.
SSM - population health
|January 29, 2024
概括
改善残疾人获得医疗保健的方法需要考虑社会经济地位和区域经济发展. 更高的个人社会经济地位和更强大的区域经济与这些人口更好的医疗保健接入有关.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 关于残疾人的研究.
背景情况:
- 实现可持续发展目标"不让任何人落后"的承诺,需要满足残疾人的医疗保健需求.
- 残疾人获得医疗保健是一个关键的全球卫生挑战,受到各种社会经济和区域因素的影响.
研究的目的:
- 调查中国残疾人医疗保健服务的可访问性.
- 检查个人社会经济地位和区域经济发展对残疾人获得医疗保健的影响.
主要方法:
- 利用线性概率回归模型分析个人社会经济状况 (居住,贫困,教育) 与医疗保健准入之间的关联.
- 进行了生态分析,将县区的经济指标 (人均GDP,城市化,教育,恩格尔系数) 与医疗保健准入率进行相关联.
- 采用多层次回归模型来探索个人和区域因素对个人医疗保健获取的综合影响.
主要成果:
- 较高的个人社会经济地位,指的是城市居住和高等教育,与改善残疾人获得医疗保健的机会有关.
- 区域经济指标与医疗保健接入之间观察到积极的关联,无论是在总和个人层面.
- 县级经济发展和扶贫政策被确定为影响残疾人获得医疗保健的关键因素.
结论:
- 个人社会经济地位和区域经济发展对残疾人获得医疗保健有重大影响.
- 地方政府,特别是低收入和中等收入国家,应优先考虑经济发展和减少贫困的战略,以提高弱势群体的医疗保健可获得性.
- 专注于社会经济决定因素的政策干预对于确保残疾人平等获得医疗保健至关重要.
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