地方政府支出集中和工作年龄死亡率的空间变化
Rourke O'Brien1, Manuel Schechtl2, Robert Manduca3
1Yale University, United States.
SSM - population health
|April 16, 2025
概括
当地政府支出结构影响美国人口健康. 更集中的县支出减少了社区中年死亡率的差异,突出了政府结构.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 政治科学 政治科学是指政治学.
背景情况:
- 地方政府支出的差异与美国各地人口健康结果的变化有关.
- 除了支出水平之外,地方政府财政的结构也可能影响健康不平等.
研究的目的:
- 调查地方政府支出的集中是否会影响工作年龄死亡率的空间变化,独立于总支出金额.
- 探索历史和政治因素对地方政府结构的影响,以及它们对人口健康的影响.
主要方法:
- 分析地方政府财政数据和美国人口普查地区的死亡率统计数据.
- 统计建模以评估财政集中和死亡率变化之间的关系,控制总支出.
主要成果:
- 地方政府支出的集中度更高,县政府占比更大,与人口普查区域中中年死亡率的变化减少有关.
- 这一发现甚至在考虑了地方政府支出总额后也是如此.
结论:
- 地方政府财政制度的结构,特别是集中程度,在塑造人口健康的地域差异方面发挥着重要作用.
- 了解这些政府结构对于解决健康不平等至关重要,即使这些结构不是政治辩论的主要主题.
相关概念视频
Applications of Life Tables
35
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
35
Selected Data About Geographic Locations
17
Geographic Information Systems (GIS) rely on two core types of data: spatial data and attribute data.Spatial DataSpatial data defines the physical location of features within a coordinate system, typically expressed in terms of latitude and longitude. It provides precise positioning for elements like roads, rivers, or buildings.Attribute DataAttribute data complements spatial data by adding descriptive information about these features. For example, a road's spatial data includes its start and...
17
Levels of Use of a GIS
21
Geographic Information Systems (GIS) operate across three levels of application, each representing an increasing degree of complexity: data management, analysis, and prediction. These levels reflect the expanding functionality and versatility of GIS technology in handling spatial data for diverse purposes.Data ManagementAt its foundational level, GIS serves as a tool for data management, enabling the input, storage, retrieval, and organization of spatial data. This level is often employed in...
21
Statistical Methods for Analyzing Epidemiological Data
239
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
239
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
Bias in Epidemiological Studies
98
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
98


