测量贫困对初级医疗保健绩效的影响,使用数据包裹分析和马尔姆奎斯特指数
Holly Bea Merelie1, Carla Alexandra Filipe Amado1, Sérgio Pereira Dos Santos2
1Faculty of Economics and Center for Advanced Studies in Management and Economics (CEFAGE), University of Algarve, Faro, Portugal.
Health care management science
|June 7, 2025
概括
贫困程度较高的地区的预期寿命较短,因此需要集中在健康公平方面的努力. 这项研究表明,虽然贫困地区获得了更多的资源,但他们获得的医疗保健效率较低,这凸显了政策改进的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 预期寿命差异与社会经济贫困相关.
- 解决健康不平等问题是医疗保健系统的一个关键政策目标.
- 英国国家卫生服务 (NHS) 在公平的资源分配和绩效方面面临着挑战.
研究的目的:
- 评估社会经济贫困对英格兰初级医疗保健绩效的影响.
- 为了评估医疗保健公平性,效率和有效性的变化,在不同程度的贫困.
- 为决策者和医疗保健管理人员提供有关减少健康不平等战略的信息.
主要方法:
- 数据包围分析 (DEA) 用于衡量188个临床调试组 (CCG) 的表现.
- 马尔姆奎斯特指数 (MI) 用于分析贫困对医疗保健绩效变化的影响.
- 绩效指标包括初级保健服务的公平性,效率和有效性.
主要成果:
- 在CCG中观察到医疗保健公平性,效率和有效性的显著差异.
- 在较贫困地区的临床调试组 (CCG) 显示人均资源和效率较高.
- 尽管有资源优势,但贫困地区的CCG与较不贫困地区相比,其整体医疗保健效率较低.
结论:
- 贫困严重影响初级医疗保健的表现,导致持续的健康不平等.
- 加强健康和社会政策对于减轻贫困对健康结果的负面影响至关重要.
- 数据环境分析 (DEA) 和马尔姆奎斯特指数 (MI) 为监测和改善与社会经济因素相关的医疗保健绩效提供了宝贵的工具.
相关概念视频
01:26Methods Of Healthcare Delivery System
4.0K
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...
4.0K
01:30Primary Healthcare Services
2.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.0K
01:11Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
01:30Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
01:29Issues And Trends In Healthcare Delivery System
6.2K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.2K
01:25Statistical Methods for Analyzing Epidemiological Data
900
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:
900