欧盟公共卫生支出的决定因素
Joseph Piscopo1, Wim Groot1, Milena Pavlova1
1Faculty of Health, Medicine and Life Sciences, Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Maastricht University, Maastricht, The Netherlands.
PloS one
|March 6, 2024
概括
欧盟国家的公共卫生支出主要是由经济增长 (GDP) 驱动的. 持续的经济差异意味着人均PHE的差异可能会持续,挑战健康公平目标.
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
- 计量经济学 计量经济学
背景情况:
- 公共卫生支出是欧盟成员国快速增长的支出类别.
- 人口老龄化和财富增长需要更多的政府卫生系统投资.
- 确定公共卫生支出的主要决定因素对于政策规划至关重要.
研究的目的:
- 确定欧盟成员国公共卫生支出的主要驱动因素.
- 分析各种因素对公共卫生支出趋势的影响.
主要方法:
- 利用了2000年至2018年的宏观级别欧盟小组数据.
- 采用静态和动态计量经济学建模来分析关联.
- 研究了解释变量与公共卫生支出之间的关系.
主要成果:
- 国内生产总值 (GDP) 和自费医疗支出是公共卫生支出的重要驱动因素.
- 卫生系统的特点也显示出与支出的统计学意义上的关联.
- 选举年和公共债务的影响很小;人口老龄化,政治意识形态和公民期望无关紧要.
结论:
- 国内生产总值增长是增加公共卫生支出的主要触发因素,使人均差距持续存在.
- 公共卫生支出持续存在的差异阻碍了实现卫生公平可持续发展目标.
- 减少欧盟内部的经济不平等对于减轻公共卫生支出差异至关重要.
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