五个北欧国家的药品财务负担:一种非商品化前景
Katri Aaltonen1, Maria Vaalavuo2
1INVEST Research Flagship Centre, University of Turku, Finland; Kela Research, Social Insurance Institution of Finland, Finland.
Social science & medicine (1982)
|March 22, 2024
概括
药品 (FBM) 的财务负担在欧洲福利国家之间有很大差异,即使是那些目标相似的国家. 较低收入群体和芬兰的老年人面临更高的FBM,突出了市场保护的差距.
科学领域:
- 社会政策研究 社会政策研究
- 卫生经济学 卫生经济学
- 福利国家的比较分析
背景情况:
- 负担得起的药物获取是欧洲社会政策的一个关键目标,但比较研究有限.
- 福利国家的脱商品化概念需要扩展,包括药物.
- 了解药品财务负担 (FBM) 对于评估通用医疗保健系统的市场保护至关重要.
研究的目的:
- 为了比较五个平等的欧洲福利国家收入,人口统计和FBM之间的关系.
- 分析普遍卫生系统如何保护公民免受药品成本的市场力量的影响.
- 识别FBM及其决定因素的变化,即使在具有相似卫生政策目标的国家中也是如此.
主要方法:
- 2017年EU-SILC微数据的分析.
- 应用线性概率模型来评估FBM决定因素.
- 在丹麦,芬兰,荷兰,挪威和瑞典进行了比较研究.
主要成果:
- 观察到FBM水平的跨国显著差异.
- 在芬兰,收入最高的五分之一报告了比丹麦最低的更多的FBM.
- 芬兰的FBM随着年龄的增长而增加,与其他国家不同,中年成年人受到影响最大;更高的FBM始终与较低收入五分之一相关.
结论:
- 现有的重点关注医疗保健服务的非商品化文献是不够的;药品成本代表着一个重要的市场风险.
- 对健康和福利国家的比较研究必须纳入药物的财务负担.
- 即使是相似的福利国家在保护公民免受药品成本的影响方面也存在显著差异,需要政策关注.
相关概念视频
01:02Prescription, Nonprescription and Orphan Drugs
725
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
725
01:03Drug Control Governance: Regulatory Bodies and Their Impact
158
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
158
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:28Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:15Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K