它从来没有下雨,但它倾倒:边缘地区的紧缩和死亡率
C Guccio1, G Pignataro2, F Vidoli3
1University of Catania, Department of Economics and Business, Corso Italia, 55, Catania, 95129, CT, Italy.
Economics and human biology
|June 11, 2024
概括
意大利通过医疗保健赤字恢复计划 (RP) 实施的紧缩措施显著增加了死亡率. 这种影响在边缘地区和脆弱人群中更大,随着距离医院的距离而恶化.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 政策的社会经济影响
背景情况:
- 意大利各地区的医疗保健财政赤字导致从2007年开始实施复苏计划 (RP).
- 医疗保健的紧缩措施在全球范围内越来越令人担忧,具有重大社会经济影响.
- 了解财政政策对健康的影响对于公共卫生准备至关重要.
研究的目的:
- 评估意大利紧缩措施对2003年至2018年区域死亡率的影响.
- 评估紧缩政策对死亡率的影响的空间异质性.
- 确定对弱势群体和地理区域的影响差异.
主要方法:
- 使用差异差异分级匹配估计器.
- 分析了市级的每月死亡率.
- 集成的空间分析,考虑到距离最近的医院的距离.
主要成果:
- 根据复苏计划 (RP) 的紧缩措施与对健康的显著负面影响有关.
- 在RP的地区,死亡率上升,而医院的影响进一步加剧.
- 不利的健康影响在边缘地区和弱势群体中更为明显,根据性别和季节而异.
结论:
- 医疗紧缩政策显然会增加死亡率,特别影响偏远和脆弱的社区.
- 这些发现强调了在财政政策设计中考虑健康公平和地理准入的关键需要.
- 政策干预必须解决紧缩政策对弱势群体的不成比例负担,以减轻不利的健康结果.
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