机构对公民的健康状况有什么影响吗? 经验证据来自意大利
M Alessandra Antonelli1, Giorgia Marini2
1Department of Legal and Economic Studies, Sapienza University of Rome, Rome, Italy. alessandra.antonelli@uniroma1.it.
概括
高质量的机构推动了意大利地区人口健康的改善. 有效的地方治理和遵守医疗保健标准可以减少健康不平等,使社会经济因素变得不那么重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 政治科学 政治科学是指政治学.
背景情况:
- 在意大利,人口健康状况的区域差异仍然存在.
- 机构质量对健康结果的影响需要进一步研究.
研究的目的:
- 检查机构质量对意大利地区人口健康变化的影响.
- 评估强大的机构是否能够减轻社会经济因素对健康的影响.
主要方法:
- 开发一个综合区域健康状况指标,使用预期寿命,死亡率和发病率数据.
- 对健康指标与社会经济,卫生系统和机构变量之间的关系进行计量经济学分析.
- 2011-2019年期间在意大利地区层面收集的数据.
主要成果:
- 机构质量被确定为人口健康的重要决定因素.
- 运作良好的地方机构和遵守基本护理水平的地区显示出改善的健康结果.
- 社会经济背景对人口健康的相关性在机构质量高的地区下降.
结论:
- 提高机构质量对于提高意大利人口健康至关重要.
- 有效的治理和标准化的医疗保健服务有可能减少健康不平等.
- 政策干预应侧重于加强制度框架,以促进公平的健康成果.
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