一个简单的衡量灾难性的医疗支出
Tomson Ogwang1, Germano Mwabu2
1Department of Economics, Brock University, St. Catharines, Canada.
Health economics
|June 25, 2025
概括
我们为灾难性卫生支出 (CHE) 引入了一项新的瓦特式措施. 该工具有助于识别CHE的驱动因素,并允许对更好的健康政策进行子组分析.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 计量经济学 计量经济学
背景情况:
- 灾难性医疗支出 (CHE) 在全球范围内给家庭带来了巨大的经济负担.
- 现有措施可能缺乏政策制定的详细分析能力.
- 了解CHE的驱动因素和分布对于有效的健康融资至关重要.
研究的目的:
- 为评估灾难性卫生支出 (CHE) 提出一种新的瓦特式措施.
- 开发一种既可加法,又可乘法分解的测量方法.
- 证明拟议的CHE措施的实证应用和政策相关性.
主要方法:
- 调整经典的瓦特贫困指标,以适应灾难性的医疗支出.
- 使用普通最小平方 (OLS) 回归进行估计和添加分解.
- 介绍Watt类型CHE测量的时间动态分析.
主要成果:
- 拟议的瓦特式测量是可添加分解的,允许根据子组 (例如性别,种族,地区) 分析CHE贡献.
- 该测量是多重分解的,确定关键驱动因素:CHE发病率,强度和不平等.
- 实证应用证明了政策价值和效用,作为对现有措施的补充.
结论:
- 瓦特式CHE措施为健康经济分析提供了灵活和信息化的工具.
- 它的分解性增强了对CHE驱动因素和子组贡献的理解.
- 这一措施可以为有针对性的政策干预提供信息,以减轻灾难性卫生支出的影响.
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