根据调整的发病率组预测医疗保健支出,以实施基于需求的资本化融资系统
Jorge-Eduardo Martínez-Pérez1, Juan-Antonio Quesada-Torres2,3, Eduardo Martínez-Gabaldón4
1Department of Applied Economics, University of Murcia, Campus of Espinardo, Murcia, 30100, Spain. jorgemp@um.es.
Health economics review
|May 8, 2024
概括
使用调整的发病率组 (AMG) 的新资本化模式可以通过根据人口健康需求分配资金,而不仅仅是年龄或历史支出,从而在西班牙创造更公平的医疗保健预算.
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
- 医疗保健的融资 医疗保健的融资
背景情况:
- 人口老龄化推动了西班牙医疗保健支出的增加.
- 健康状况,而不仅仅是年龄,是医疗保健成本的主要决定因素.
- 现有的医疗保健融资模式可能不能准确地反映区域人口的需求.
研究的目的:
- 为西班牙穆尔西亚地区开发和模拟基于资本化的医疗保健融资模式.
- 通过调整的发病率组 (AMG) 来纳入健康状况,以实现公平的预算分配.
- 评估基于AMG的模型对医疗保健资源分配的影响.
主要方法:
- 分析了2017年超过125万居民的数据,包括年龄,性别,AMG和医疗保健费用.
- 开发通用线性模型,以根据健康状况预测医疗保健支出.
- 使用所选模型对9个医疗保健区的资本化预算进行模拟.
主要成果:
- 一个马分布与一个对数链接函数产生了最好的模型匹配.
- 拟议的资本化模式揭示了不平等现象,大多数地区面临资金减少,而两个急需地区获得了增加.
- 该模型强调基于健康状况和标准化利用的分配,而不是历史支出.
结论:
- 基于调整的发病率组 (AMG) 的资本化预算可以提高西班牙的医疗保健融资公平性.
- 纳入多病症负担可以将资源重新分配到人口健康需求较大的地区.
- 在实施基于需求的全球预算之前,建议进行进一步的政策分析.
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