边缘化的两部分模型用于分析伊朗家庭的多层次半连续医疗成本
Elham Daghaghele1, Kambiz Ahmadi Angali2, Naser Kamyari3
1Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Scientific reports
|March 3, 2025
概括
伊朗的医疗费用对家庭财务有很大影响. 影响这些成本的关键因素包括家庭规模,教育程度和社会经济地位,单身家庭和有更多学生的家庭面临更低的开支.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 统计建模 统计建模
背景情况:
- 医疗费用 (MCs) 在全球范围内对家庭造成了巨大的财务负担.
- 了解MC的决定因素对于制定有效的医疗保健政策和财务支持系统至关重要.
- 之前的研究已经确定了影响医疗保健支出的各种社会人口因素,但国家具体分析至关重要.
研究的目的:
- 分析伊朗家庭医疗费用的社会经济和人口统计因素.
- 为了分析医疗成本,将边缘化的两部分逻辑正常模型 (MTP-LN) 与边缘化的两部分马模型 (MTP-G) 的性能进行比较.
- 确定与较低和较高的医疗成本相关的因素,以告知有针对性的干预措施.
主要方法:
- 分析了2021年来自8,993个伊朗家庭的数据.
- 应用一个边缘化的两部分模型 (MTP) 与lognormal和gamma分布.
- 包含一个两级结构来解释省级异质性;使用R软件进行分析.
主要成果:
- 平均每年医疗费用为180美元,具有显著的变化 (SD=324.39美元).
- 主要的成本决定因素包括家庭规模,居住区,教育水平和社会经济地位.
- 单人家庭和有更多学生的家庭报告了较低的医疗费用.
结论:
- 与MTP-Gamma模型相比,MTP-Lognormal模型显示出更高的预测准确度,更好地捕捉了省际成本变化.
- 社会经济和人口因素在伊朗显著影响家庭医疗费用.
- 研究结果支持使用MTP-LN模型来识别弱势群体并设计有针对性的干预措施,以减轻医疗保健的财务负担并解决区域不平等问题.
相关概念视频
Methods Of Healthcare Delivery System
3.1K
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...
3.1K
Mechanistic Models: Compartment Models in Individual and Population Analysis
23
Mechanistic models are utilized in individual analysis using single-source data, but imperfections arise due to data collection errors, preventing perfect prediction of observed data. The mathematical equation involves known values (Xi), observed concentrations (Ci), measurement errors (εi), model parameters (ϕj), and the related function (ƒi) for i number of values. Different least-squares metrics quantify differences between predicted and observed values. The ordinary least...
23
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
Traditional Level Of Health Care System
2.6K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.6K
Models of Health Promotion and Illness Prevention II
1.5K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.5K


