民主与腐败以及全球医生劳动力之间的关系
Amrit Kirpalani1,2, Eray Yilmaz1
1Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
PLOS global public health
|November 27, 2024
概括
更强大的民主和更少的腐败与人均医生人数的增加有关,无论医疗保健支出如何. 这些治理因素是通过提高医疗保健劳动力密度来实现全民医疗覆盖的关键.
科学领域:
- 全球卫生政策 全球卫生政策
- 健康劳动力研究 卫生劳动力研究
- 政治科学与健康 政策科学与健康
背景情况:
- 民主和腐败等治理因素显著影响医疗保健劳动力动力.
- 有效的卫生工作人员规划和资源分配对于实现全民健康覆盖 (UHC) 是必不可少的.
- 这项研究调查了政治治理与全球关键医疗保健劳动力指标之间的相互作用.
研究的目的:
- 检查民主与腐败之间的关系以及医疗保健劳动力指标.
- 确定治理是否影响医生密度,通用医师与专家的比例以及女性医生的比例.
- 了解实现全民健康覆盖所带来的影响.
主要方法:
- 使用2020-2022年全球数据进行的横截面研究.
- 主要结果:医生密度 (每1万人口的医生). 二次结果:一般医生与专家的比例,女性医生的百分比.
- 分析包括部分相关性,MANOVA和ANOVA,控制国内卫生支出.
主要成果:
- 在更高的民主指数 (DI) 和腐败感知指数 (CPI) 与医生密度之间发现了显著的积极关联.
- MANOVA揭示了DI和CPI对联合劳动力变量的显著多变量效应.
- 单变量ANOVA证实DI和CPI显著影响了医生密度,独立于卫生支出;没有观察到对其他劳动力比例的显著影响.
结论:
- 更高的民主和更低的腐败与医生密度的增加相关,不管医疗保健支出如何.
- 促进民主和减少腐败的治理改革对于加强医疗保健工作人员至关重要.
- 这些发现强调了良好治理在推进全民健康覆盖的目标中的重要性.
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