秘鲁私人医疗保健系统的成本共享和相关因素
Luciana Bellido-Boza1,2, David Villarreal-Zegarra1,3, Max Pariona-Cárdenas2
1Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
PloS one
|August 9, 2024
概括
在秘鲁的私人保险中,医疗费用对于住院比门诊更高. 这项研究分析了用户的成本共享,发现住院的每日费用显著,可能会限制获得护理的机会.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在资源有限的情况下,医疗保健成本至关重要,特别是在低收入和中等收入国家.
- 关于秘鲁医疗保健成本的科学证据很少,特别是关于私人医疗保险的科学证据.
- 秘鲁的医疗保健系统是分散的,对私人保险融资模式的研究有限.
研究的目的:
- 分析秘鲁私人医疗保健系统中的用户成本共享.
- 确定与私人医疗保险成本共享相关的因素.
- 为决策者提供关于医疗保健准入和公平的证据.
主要方法:
- 从2021-2022年使用标准化计费数据 (TEDEF-SUSALUD) 的电子交易模型进行横截面研究.
- 分析用户的医疗费用,重点关注总成本共享,支付比例和相对于最低工资的成本.
- 多重回归建模以确定相关因素.
主要成果:
- 包括来自秘鲁私人医疗保险用户的5,286,556种医疗服务.
- 医院住院的成本共享差异很大:平均每天419.64索尔.
- 每日住院费用共享比门诊护理高0.41个最低工资,占总账单的14%.
结论:
- 提供了秘鲁私人医疗保健部门成本共享的详细概述.
- 住院治疗与门诊治疗的更高的成本共享可能会造成医疗保健准入不平等.
- 调查结果可以为政策制定提供信息,以降低成本并促进秘鲁平等获得医疗保健.
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