从社会生态方面了解灾难性卫生支出的变化:系统性审查
Kaniz Fatima Mohsin1, Md Nasif Ahsan2, Mohammed Ziaul Haider3
1Economics Discipline, Khulna University, Khulna, Bangladesh. kaniz.fm@econ.ku.ac.bd.
BMC public health
|June 5, 2024
概括
高出口袋 (OOP) 医疗支出导致金融灾难. 本综述综合了灾难性卫生支出 (CHE) 的预测因素,强调需要对社区和政策层面因素进行更多研究.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 在全球范围内,自取支付 (OOP) 是一种主要医疗保健融资方法.
- 高额的OOP支出可能会导致金融灾难和贫困.
- 影响灾难性医疗支出 (CHE) 的因素复杂且取决于环境.
研究的目的:
- 进行灾难性卫生支出 (CHE) 的预测因素的社会生态综合.
- 确定目前关于CHE决定因素的研究中的差距.
- 为医疗保健中的金融保护策略提供信息.
主要方法:
- 按照PRISMA指南进行系统审查.
- 这些数据来自Scopus和Web of Science.
- 通过社会生态模型的透视来分析预测因素.
主要成果:
- 51项定量研究符合纳入标准.
- 社会经济和需求侧决定因素是最受研究的.
- 分析了人际,关系和机构预测因素,但社区和政策层面的预测因素很少.
- 在任何研究中都没有分析供给侧预测因素.
结论:
- 对CHE的财政保护对于全民健康覆盖和可持续发展目标3至关重要.
- 进一步的研究必须密集地研究社区和政策层面的CHE预测因素.
- 了解医疗保健提供者的观点对于识别护理障碍和打击CHE至关重要.
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