由于阿根廷的医疗支出,与金融风险相关的因素
Juan Marcelo Virdis1,2, María Eugenia Elorza2,3, Fernando Delbianco3,4
1Health Organisation, Policy and Economics (HOPE) research group, Centre for Primary Care and Health Services Research (FBMH), University of Manchester, Manchester M3 9PL, UK.
Health policy and planning
|July 2, 2024
概括
在阿根廷的家庭中,老年人或面临长期困难的家庭中,灾难性医疗支出 (CHE) 更有可能发生. 经济不活跃的家庭主也增加了这种风险,突出了对家庭综合评估的需要.
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
- 健康的社会经济决定因素
背景情况:
- 灾难性医疗支出 (CHE) 在全球范围内给家庭带来了巨大的经济负担.
- 了解影响CHE的人口和社会经济因素对于阿根廷有效的卫生政策至关重要.
- 之前的研究可能忽略了不同家庭成员对医疗支出风险的细微贡献.
研究的目的:
- 确定与阿根廷灾难性卫生支出 (CHE) 相关的关键家庭人口统计和社会经济特征.
- 分析特定因素,包括年龄,长期困难和家庭主人的经济活动对CHE的影响.
- 评估医疗保险状态,消费能力和CHE之间的关系.
主要方法:
- 利用来自阿根廷的2017-2018年的数据,根据家庭消费能力的比例计算出出口袋 (OOP) 医疗支出来估计CHE.
- 采用了通用的顺序逻辑模型来评估CHE在不同强度值 (10%,15%,20%,25%) 的决定因素.
- 包括社会经济,人口和地理变量,重点关注家庭组成和健康状况.
主要成果:
- 家庭成员年龄超过65岁,以及个人经历长期困难的家庭,患CHE的可能性更高.
- 经济不活跃的家庭主与CHE的可能性增加有显著的关联.
- 关于公共/私人医疗保险与消费能力之间的关联,观察到不一致的结果.
结论:
- 老年会员和长期困难的个人是阿根廷CHE的重要预测因素.
- 家长的经济活动地位是影响灾难性医疗支出的关键因素.
- 未来的研究应该考虑所有家庭成员的属性,并明确考虑长期困难,以避免仅仅高估年龄的影响.
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