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地方政府支出和心理健康:使用动态建模方法解开影响
Ekaterina Melianova1, Tim T Morris2, George Leckie3
1School of Geographical Sciences, University of Bristol, UK.
Social science & medicine (1982)
|April 14, 2024
概括
当地政府的支出在短期和长期内对心理健康产生不同的影响. 虽然成人社会护理,医疗保健和法律和秩序支出促进了长期的心理健康,但它们最初会减少它,这表明资源分配存在挑战.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- "所有政策中的健康"方法强调将卫生考虑纳入所有政府部门.
- 了解地方政府预算与人口心理健康之间的复杂关系对于有效的政策制定至关重要.
研究的目的:
- 调查地方政府对英格兰 (2013-2019) 心理健康支出的短期和长期影响.
- 分析医疗保健和非医疗预算分配如何影响人口心理健康结果.
主要方法:
- 采用随机曲线的一般交叉差距建模来实现动态分区效应.
- 考虑到未观察到的区域级异质性和反向因果关系.
- 建模预算项目作为一个相互连接的系统来评估动态影响.
主要成果:
- 成人社会保健,医疗保健和法律和秩序支出预测了长期的心理健康收益,但显示了短期的负面影响.
- 基础设施和环境支出在短期内对心理健康产生了积极影响,但在长期内却产生了负面影响.
- 负的短期和长期联系表明了资源分配中的潜在效率低下.
结论:
- 当地政府支出对心理健康有复杂的,往往相反的短期和长期影响.
- 一些非医疗支出,如法律和秩序和基础设施,可以产生持久的积极心理健康益处.
- 研究结果表明,需要进行战略性资源配置,以最大限度地发挥积极的心理健康影响,并减轻短期的负面干扰.
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