东盟卫生系统效率与公平:经验调查
Yaqing Liu1,2, Liwen Gong3, Haoran Niu1
1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Cost effectiveness and resource allocation : C/E
|November 26, 2024
概括
东盟国家的卫生系统效率平均为0.231,显示阶段效率的混合趋势. 虽然资源分配正在改善,但差距仍然存在,需要针对性干预,以实现公平的医疗保健发展.
科学领域:
- 卫生系统研究 卫生系统研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 根据世卫组织的指导方针,公平和效率是健全卫生系统的关键原则.
- 尽管取得了进展,东南亚国家联盟 (东盟) 的卫生系统在实现全球卫生目标方面面临着持续的差距.
- 这项研究调查了东盟国家内的卫生系统效率和资源分配公平性.
研究的目的:
- 检查东盟国家的各种卫生系统阶段的效率.
- 评估卫生资源分配的公平性,考虑人口,地理和经济因素.
- 确定现有差异的原因,并提出改善卫生系统发展的解决方案.
主要方法:
- 利用了来自世卫组织全球卫生观察站和世界银行数据库的2011-2019年的数据.
- 采用增强的两阶段数据包裹分析 (DEA) 来评估卫生系统阶段效率.
- 使用卫生资源聚合度和度曲线评估的股权,与入权重TOPSIS集成,以衡量整体公平性.
主要成果:
- 东盟卫生系统的整体效率平均为0.231,第一阶段效率提高 (0.559) 和第二阶段效率下降 (0.502).
- 观察到卫生资源分配的显著差异,新加坡和马来西亚等国家呈现出高聚合率,而柬埔寨,缅甸和老的指数较低.
- 医院床位分布接近公平,在研究期间,度曲线向绝对公平的直线移动.
结论:
- 在一些东盟国家提高资源配置效率尚未导致更好的卫生服务,需要进行战略干预.
- 主要挑战包括建立国家卫生指导委员会,加强劳动力发展和实施集中监测.
- 通过均衡的资源分配和区域合作来解决医疗保健发展差异,对于公平的东盟医疗保健系统至关重要.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:18Introduction To Health Care Delivery System
2.6K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.6K
01:20Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
01:30Health Information Technology and Healthcare Information System
801
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
801