评估印度的医疗支出趋势和疾病负担:每DALY成本的方法
Bhavani Shankara Bagepally1, Sajith Kumar S1, Akhil Sasidharan1
1Health Technology Assessment Resource Centre, ICMR-National Institute of Epidemiology, Chennai, India.
ClinicoEconomics and outcomes research : CEOR
|April 1, 2024
概括
印度更高的医疗保健支出与较低的疾病负担相关,但成本效益因州而异. 这项研究估计了每年残疾调整寿命 (DALY) 的成本,以指导资源分配.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 为了有效地分配医疗保健资源,需要评估卫生支出对疾病负担的影响.
- 估计每残疾调整寿命年 (DALY) 的成本对于了解印度医疗保健效率至关重要.
研究的目的:
- 为了估计印度每DALY的成本,使用2010-2019年的州级数据.
- 分析印度各州的人均卫生支出 (HEp) 和DALY之间的关系.
主要方法:
- 对印度各州 (2010-2019) 的DALY和HEp的利用数据.
- 采用了皮尔森的相关性和面板回归分析 (日志模型).
- 报告的成本是以印度卢比 (₹) 表示,具有95%的信心区间 (CI),使用1美元 = ₹82.4.4的转换系数.
主要成果:
- 在DALY和HEp之间发现了负相关性,这表明更高的支出减少了疾病负担.
- 印度每日平均成本估计为82,112卢比 (997美元).
- 在各州观察到每DALY成本的显著变化,在较高的人类发展指数 (HDI) 州的成本较低,在较低的人类发展指数 (HDI) 州的成本较高.
结论:
- 增加医疗保健投资与减少疾病负担有关,尽管DALY减少的程度在地理上有所不同.
- 调查结果支持建立差异性支付意愿门,以提高印度各州高效和公平的医疗保健资源分配.
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