卫生支出对波罗的海国家的住院率的影响:比较分析
Huan Jiang1,2,3, Alexander Tran4,5, Inese Gobiņa6
1Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Ursula Franklin Street, T521, Toronto, ON, M5S 2S1, Canada. hedy.jiang@utoronto.ca.
医疗保健指标与爱沙尼亚,拉脱维亚和立陶宛的住院率下降没有明显的相关性. 人均国内生产总值 (GDP) 的提高与男女住院病例的增加有关.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 调查爱沙尼亚,拉脱维亚和立陶宛 (2015-2020) 的医疗保健指标和住院率.
- 专注于高收入欧洲国家,以了解医疗保健趋势.
研究的目的:
- 检查医疗保健指标与住院率之间的关联.
- 评估经济状况,特别是人均国内生产总值 (GDP) 对住院趋势的影响.
主要方法:
- 采用了性别分层的通用添加模型 (GAM).
- 分析了医疗保健指标 (例如,医疗支出,医生/护士人数,医院病床) 对住院率的影响.
- 根据人均国内生产总值 (GDP) 进行调整,以考虑经济状况.
主要成果:
- 在这三个国家都观察到住院率的持续下降.
- 在医院支出比例,医生/护士人数或医院病床和住院率之间没有统计学意义上的关联.
- 确定了每1万人口中就业医生的数量与住院率之间的统计学上显著的积极关联,特别是在男性中.
- 显示,人均国内生产总值 (GDP) 增加和男性和女性住院率增加之间存在显著的正相关性.
结论:
- 医疗保健支出与住院率的下降没有显著联系.
- 建议医疗保健系统可能转向初级保健,门诊服务和预防措施.
- 强调经济因素 (GDP) 对住院模式的影响.
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