初级保健的成本:城市环境中的经验分析
Mia P Rey1, Regine Ynez H De Mesa2, Jose Rafael A Marfori2
1Virata School of Business, University of the Philippines Diliman, Quezon City, Philippines.
Acta medica Philippina
|January 20, 2025
概括
门诊护理的融资需要估计每人每年403.22菲律宾比伦币,以获得全面的初级保健福利包. 这种基于实际使用的成本分析支持将重点从住院服务转移到可访问的门诊福利.
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
- 医疗保健融资 医疗保健融资
背景情况:
- 当前的医疗保健计划往往优先考虑住院服务,为住院患者创造激励.
- 这项研究解决了对门诊护理的全面融资需求,以改善福利的可获得性.
研究的目的:
- 使用实际使用数据估计初级保健福利套餐 (PCBP) 的年度成本.
- 为转移医疗保健福利到门诊服务的政策提供信息.
主要方法:
- 对一种无病的初级保健福利包进行了成本分析.
- 从城市门诊机构的员工采访,会计文件和电子健康记录中收集的数据.
主要成果:
- 该研究分析了15051名符合条件的个人数据.
- 每年的咨询使用率为51%,其中38%获得诊断程序,48%获得药物.
- 计算出的每年初级保健费用为人均403.22菲律宾比索.
结论:
- 每人每年403.22菲律宾的拨款可以为城市门诊机构提供全面的,无病的初级保健福利包.
- 通过高效的注册,减少不必要的检查,社区参与和电子健康记录 (EHR) 系统来提高可行性.
- 这一发现支持向强有力的门诊护理融资的战略转变.
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