[根据评级定义对医疗保健系统的比较分析]
R U Khabriev, M E Kolomiychenko1
1N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia, m.kolomiychenko@nriph.ru.
概括
由于不同的指标,比较医疗保健系统具有挑战性. 使用整体公共卫生指标的评级系统显示,医疗保险系统在财务支持,基础设施和整体健康结果方面处于领先地位.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 评估医疗保健系统的有效性和效率是复杂的,因为不同的国际指标和数据收集方法.
- 需要标准化的评级技术,以便在不同地区和国家对医疗保健活动和结果进行可比分析.
研究的目的:
- 对医疗保健系统绩效进行全面的比较分析.
- 开发一个使用整体公共卫生指标的评级系统,以提高可比性.
主要方法:
- 建立了一个基于整体公共卫生指标的评级系统.
- 包括财务支持,基础设施发展,非传染性疾病死亡率,慢性疾病过早死亡的可能性,全民医疗覆盖和预期寿命等指标.
- 分析了俄罗斯联邦和国际各个主体的数据.
主要成果:
- 拥有医疗保险制度的国家表现出最高的财务投资和最好的基础设施支持 (病床,医疗人员).
- 在分析的所有综合公共卫生指标中,医疗保险系统排名第一.
- 对比分析显示,根据所选择的指标,医疗保健系统的表现存在显著差异.
结论:
- 医疗保险系统与医疗保健中的优越的财务和基础设施资源有关.
- 开发的评级系统提供了一个可靠的方法来比较医疗保健系统的有效性和公共卫生结果.
- 实施标准化评估工具对于评估和改进国家和区域医疗保健系统至关重要.
关键词:
医疗保健融资模式 医疗保健融资模式医疗保健服务 医疗保健服务医疗保健系统 医疗保健系统预期寿命 预期寿命监控 监控 监控 监控 监控 监控死亡率 死亡率 死亡率总体覆盖范围总体覆盖范围公共卫生公共卫生.评级机构的评级机构评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构的评级机构相关概念视频
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