摩洛哥的UHC:基于成本数据库的公共医院融资规模的自下而上的估计
El Houcine Akhnif1, Abdelouahab Belmadani2, Awad Mataria3
1World health organization/country office of Morocco, 3 Avenue S.A.R. Sidi Mohamed, Rabat, Morocco. akhnif@yahoo.fr.
Health economics review
|April 1, 2024
概括
摩洛哥 摩洛哥 摩洛哥 摩洛哥 摩洛哥 摩洛哥
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
- 医疗保健管理的管理
背景情况:
- 摩洛哥正在实施卫生系统改革,到2025年实现全民医疗保险.
- 公共医院在这个改革中发挥着至关重要的作用,需要准确的成本数据.
- 估计资金缺口对于公共卫生保健服务的可持续性至关重要.
研究的目的:
- 建立摩洛哥所有公共医院级别的成本国家数据库.
- 为制定医疗保险战略采购系统提供信息.
- 估计公共医院的财政需求,以支持改革.
主要方法:
- 在摩洛哥12个地区的39家医院进行了综合性成本研究.
- 使用2019年的数据,医院成本计算方法在全国范围内进行了调整和验证.
- 数据收集涉及卫生部人员,得到世卫组织国家办公室的支持.
主要成果:
- 该研究表明,在摩洛哥大规模医院造价的可行性.
- 通过卫生部的所有权和流程遵守,确保了高数据质量.
- 各医院单位成本的显著差异凸显了潜在的低效率和需要优化的领域.
结论:
- 开发的成本数据库对于在摩洛哥的一般医疗保险中塑造战略采购至关重要.
- 这些发现将有助于系统地更新医疗保险计费系统.
- 该研究为确保公共医院获得足够的资金以实现改革目标提供了基础.
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