COVID-19对残疾人使用资金的影响:从澳大利亚国家残疾人保险计划中吸取教训
1School of Business, University of New South Wales, Canberra, ACT, Australia.
International journal of health policy and management
|April 15, 2024
概括
在澳大利亚维多利亚州,COVID-19大流行大大减少了国家残疾人保险计划 (NDIS) 参与者的支出,减少了3120万澳元. 封锁,而不是服务获取,是资金利用率下降的主要驱动因素.
科学领域:
- 卫生经济学 卫生经济学
- 关于残疾人的研究.
- 流行病学 流行病学
背景情况:
- COVID-19大流行不成比例地影响了残疾人 (PwD).
- 关于大流行对澳大利亚PWD经济影响的定量研究有限.
- 这项研究解决了对大流行病对NDIS参与者的影响的定量证据的需求.
研究的目的:
- 量化评估COVID-19大流行对澳大利亚国家残疾人保险计划 (NDIS) 参与者的支出和基金利用的影响.
- 为了确定导致大流行期间NDIS支出变化的因素.
主要方法:
- 描述性分析方法用于合并的NDIS和COVID-19数据 (国家,州,区域层面).
- 回归分析根据NDIS,COVID-19和封锁政策变量估计了资金使用情况.
- 参与者在受疫情影响的地区/时期和不受疫情影响的地区/时期的支出进行了比较.
主要成果:
- 疫情在维多利亚州的五个季度中,NDIS参与者支出减少了大约312万澳元 (总额的8.85%).
- 支出收缩持续了多达两个季度.
- 由于封锁而导致的流动性减少,而不是服务访问受损,是减少支出的主要驱动因素.
- COVID-19的传播和随后的流动性限制影响了下一个季度的基金使用情况.
结论:
- COVID-19大流行严重影响了澳大利亚的NDIS参与者支出.
- 重叠的NDIS和COVID-19数据揭示了大流行对基金支出和利用率的影响.
- 调查结果建议采取政策干预措施,以减轻未来国家紧急情况对普华永道的不利影响.
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