经合组织地区的公共 versus 私人医疗保健系统 - - 一个广泛的绩效评估
Per Molander1,2
1Arbor AB, Statarvaegen 22, Uppsala, SE-75645, Sweden. molander.per@telia.com.
概括
这项研究比较了38个经合组织国家的公共和私人医疗保健系统. 调查结果显示,公共资金提高了医疗保健的效率,与私人系统更有效的说法相反.
科学领域:
- 卫生经济学 卫生经济学
- 对医疗保健系统进行比较分析.
- 公共政策评估 公共政策评估
背景情况:
- 医疗保健系统被广泛分为公开管理或通过强制性医疗保险私人管理.
- 经合组织地区的私人管理系统不断扩大,特别是新成员国.
- 了解这些模型的效率对于医疗保健政策和资源分配至关重要.
研究的目的:
- 为了比较经合组织成员国内公开管理与私人管理的医疗保健系统的效率.
- 利用经合组织指标分析医疗保健融资模式与系统绩效之间的关系.
- 评估公共融资份额对医疗保健整体效率的影响.
主要方法:
- 对38个经合组织成员国的医疗保健系统效率进行比较分析.
- 利用经合组织秘书处开发的一套综合性绩效指标.
- 数据分析的重点是最近的可用年份,通常是2021年.
主要成果:
- 随着医疗保健预算的增加,医疗保健系统的表现通常会有所改善,但边际成本会上升.
- 没有证据支持这样的假设,即向私人主导的系统过渡可以提高效率.
- 强有力的证据表明,随着医疗保健融资的公共份额增加,整体效率会增加.
结论:
- 公共管理的医疗保健系统,或那些拥有较高公共融资份额的医疗保健系统,表现出更高的效率.
- 随着支出增加,医疗保健预算的增加所带来的效率增长会随着支出增加而减少.
- 政策影响表明,加强公共融资机制可能是提高经合组织国家医疗保健系统效率的关键.
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