通过价值改变医疗保健:经合组织国家的财政前景
1School of Finance and Tourism, Chongqing Vocational Institute of Engineering, Chongqing, People's Republic of China.
Risk management and healthcare policy
|February 18, 2025
概括
基于价值的医疗保健通过提高预算平衡和减少债务来提高财政可持续性. 实施这些原则,考虑到国家特定因素,是可持续公共财政的关键.
科学领域:
- 卫生经济学 卫生经济学
- 公共财政是公共财政.
- 医疗保健管理的管理
背景情况:
- 医疗保健成本上升威胁到全球财政可持续性.
- 基于价值的医疗保健 (VBHC) 是一种改善健康结果和控制成本的策略.
- 本研究调查了VBHC在经合组织国家的财政影响.
研究的目的:
- 为32个经合组织国家 (2000-2019年) 构建一个VBHC指数.
- 用面板数据模型分析VBHC的财政影响.
- 检查VBHC与政府卫生支出,老龄化和疾病负担之间的相互作用.
主要方法:
- 对于VBHC指数构造的值权重方法.
- 面板数据的经济学分析.
- 对影响因素的上下文检查.
主要成果:
- 较高的VBHC业绩与预算平衡改善和债务减少有关.
- VBHC对财政可持续性产生了积极的影响.
- 政府的医疗支出和人口因素对财政结果有很大影响.
结论:
- VBHC提供了显著的财政效益,解决医疗保健效率低下的问题.
- 整合VBHC原则对于可持续的公共财政至关重要.
- 政策制定者应该考虑国家特定的背景,以实现最佳VBHC实施.
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