自我报告的未满足需求与医疗保健支出之间是否存在联系?
Liliane Bonnal1,2,3, Pascal Favard4,5, Thomas Laurent6,7
1UFR Sciences Économiques, Batiment A1, 2 rue Jean Carbonnier TSA 81100, Poitiers Cedex 9, 86073, France.
社会和行为差异对法国老年人未得到满足的医疗保健需求产生了重大影响. 然而,令人惊的是,未满足的需求并不影响医疗保健支出,质疑它们作为获得医疗保健指标的使用.
科学领域:
- 老年学是指老年学的学科.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 自我报告的未满足的医疗保健需求是老龄化人口的一个关键问题.
- 了解影响未满足需求的因素及其对医疗保健支出的影响对于政策至关重要.
研究的目的:
- 确定与65岁以上法国成年人未满足医疗保健需求相关的因素.
- 根据自我报告的未满足需求,研究医疗保健支出及其决定因素的差异.
主要方法:
- 利用了2012年健康与福利调查的数据与医疗保险记录相匹配.
- 采用调节转换回归模型来分析门诊医疗保健支出.
- 专注于法国65岁及以上的个人.
主要成果:
- 社会和行为差异被确定为自我报告的未满足医疗保健需求的主要驱动因素.
- 医疗保健支出的决定因素在各组之间基本一致,除了前脆弱性和并发症数量之外.
- 没有观察到未满足需求对医疗保健支出产生显著的边际影响.
结论:
- 自我报告的未满足的医疗保健需求主要与老年人的社会和行为因素有关.
- 缺乏对医疗保健开支的重大影响挑战了未满足需求作为获得医疗保健的唯一指标的实用性.
- 需要进一步的研究来完善医疗保健获取和利用的措施.
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