分权西班牙的区域间患者流动:解释区域预算失衡
Gibran Cruz-Martinez1, Roberta Perna2, Francisco Javier Moreno Fuentes2
1Complutense University of Madrid, Madrid, Spain.
The International journal of health planning and management
|February 23, 2024
概括
西班牙的区域卫生基金失衡受专业中心和旅游业的影响. 解决这些领土差异需要为患者接收地区制定国家补偿计划.
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
- 地区差异 地区差异
背景情况:
- 区域间患者流动对卫生系统的融资构成挑战,特别是在去中心化国家.
- 了解金融失衡的驱动因素对于公平的医疗保健提供至关重要.
研究的目的:
- 分析与西班牙区域间患者流动有关的区域预算失衡的决定因素.
- 确定导致分散卫生系统财务差异的因素.
主要方法:
- 跨截面时间序列回归分析.
- 利用了来自西班牙17个地区的2014-2020年间数据.
- 研究了影响推和非推患者流动预算不平衡的因素.
主要成果:
- 高度专业化的医疗中心和双边协议部分解释了来自转诊患者流动的预算失衡.
- 当地旅游业是导致非转诊患者流动预算失衡的一个重要因素.
- 在区域卫生基金中发现了严重的领土不平衡.
结论:
- 补偿患者净接收地区的国家计划是必不可少的.
- 解决财政差距对于跨地区的公平医疗保健至关重要.
- 政策干预应考虑专业护理转诊和旅游相关的患者流.
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