解释政府卫生支出变化:来自加拿大的证据
Livio Di Matteo1, Fraser Summerfield2
1Department of Economics, Lakehead University, 955 Oliver Rd., Thunder Bay, ON, P7B5E1, Canada.
概括
加拿大医疗保健支出受收入和社会因素的影响. 医生支出显示出更高的弹性,而中年人口影响药品成本,揭示了不断变化的支出趋势.
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
- 加拿大医疗保健系统加拿大医疗保健系统
背景情况:
- 了解政府卫生支出的决定因素对于政策和资源分配至关重要.
- 之前关于支出-收入弹性的研究往往缺乏对社会决定因素的全面控制.
- 加拿大医疗保健系统提供了一个独特的环境,以分析由于共同法规而导致的支出模式.
研究的目的:
- 检查影响加拿大政府从1968年至2022年的卫生支出因素.
- 评估健康的社会决定因素对支出-收入弹性的影响.
- 调查特定医疗保健类别和人口因素的支出弹性.
主要方法:
- 分析加拿大政府卫生支出数据的长时间序列 (1968-2022年).
- 计量经济学建模,包括对健康和人口变化的社会决定因素的控制.
- 包含动态规范,并对1996年的结构性断裂进行了解释.
主要成果:
- 当控制健康的社会决定因素时,支出-收入弹性从0.23增加到0.35.
- 与药物和医院支出相比,医生支出表现出更高的收入弹性.
- 医生供应对医院和医生支出都有积极影响;中年人口占比影响药品支出.
结论:
- 健康的社会决定因素在加拿大显著影响健康支出-收入弹性.
- 医生,药品和医院支出之间的不同弹性突出显示了各种增长驱动因素.
- 该研究强调了人口统计因素和医生供应在随着时间的推移塑造医疗支出模式中的重要性.
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