整个社会经济群体的终身医疗保健支出
Malene Kallestrup-Lamb1, Alexander O K Marin2,3
1Aarhus University and PeRCent, Fuglesangs Allé 4, 8210, Aarhus, Denmark.
BMC public health
|October 9, 2024
概括
在社会经济群体中,终身医疗保健支出是相似的,尽管当前支出和寿命存在差异. 这表明资源的公平使用,即使在普遍医疗保健系统中持续存在的健康差异.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
背景情况:
- 一个社会经济梯度存在于较少富裕的个人有更高的当前医疗保健支出,但寿命更短.
- 从终身的角度来看,这种医疗保健支出梯度的持久性仍然不清楚.
- 这项研究调查了社会经济层面的终身医疗保健支出.
研究的目的:
- 分析不同社会经济群体的终身医疗保健支出.
- 为了确定医疗保健支出中的社会经济差异是否会在一生中持续存在.
- 评估对医疗保健资源利用和公平性的影响.
主要方法:
- 利用来自丹麦登记处的综合个人级别医疗保健支出数据,对整个人口进行分析.
- 估计的终身医疗保健支出,乘以特定年龄的平均支出乘以生存概率.
- 分析了按性别,社会经济地位和医疗保健服务类型的支出.
主要成果:
- 考虑到死亡率和所有类型的医疗保健支出,所有社会经济群体的终身医疗保健支出几乎相等.
- 较低社会经济群体的终身医院开支最低.
- 高层社会经济群体对长期护理服务的终身支出最高.
结论:
- 健康和寿命的社会经济差异仍然存在,但终身医疗保健支出是公平的.
- 改善较低社会经济群体的健康状况可能会推迟成本,但对终身总体支出的影响有限.
- 这些发现减少了人们对在通用系统中不公平利用医疗保健资源的担忧.
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