实施基于绩效的融资以改善埃塞俄比亚的母亲和儿童健康的成本效益
Mideksa Adugna Koricho1,2,3, Girmaye Deye Dinsa1,3,4,5, Nelisiwe Khuzwayo1
1School of Nursing and Public Health, Discipline of Public Health, University of KwaZulu-Natal, Durban, South Africa.
PloS one
|July 15, 2024
概括
埃塞俄比亚的基于绩效的融资 (PBF) 与标准护理相比,挽救了更多生命,并且节省了成本. 这种方法以成本有效的方式改善了母亲和儿童健康结果.
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
- 孕产妇和儿童的健康
背景情况:
- 基于绩效的融资 (PBF) 是通过激励医疗服务提供者来实现全民医疗覆盖的战略.
- PBF将购买决策从发票退款转移到数据驱动的健康统计监测.
- 埃塞俄比亚在2015年试行了PBF,从传统的以输入为基础的融资系统转变.
研究的目的:
- 评估PBF实施在改善埃塞俄比亚母亲和儿童健康方面的成本效益.
- 在健康结果和成本方面,将PBF与标准护理模型进行比较.
主要方法:
- 进行了成本效益分析,比较了两个PBF区和两个标准护理区.
- 使用了供应商透视成本和从2018年7月至2021年6月的回顾性数据.
- 挽救生命工具 (LiST) 计算了挽救的生命,转换为质量调整的生命年 (QALY).
主要成果:
- PBF的实施导致261人的生命得以挽救,而在标准护理下为194人.
- 对PBF的人均增量成本为1.8美元,总成本为8,816,370美元/百万人口/年,而标准护理为9,780,920美元/百万人口/年.
- PBF实现了6,118个QALY/百万人口/年,而标准护理的QALY/百万人口/年为4,526个.
结论:
- 在埃塞俄比亚实施基于绩效的融资与标准护理相比,节省了成本.
- PBF证明了对母亲和儿童健康的资源更有效地分配.
- 该研究表明,PBF是提高卫生系统绩效和结果的可行策略.
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