在29个国家的医疗保健收入融资的渐进性:比较
Andres Võrk1, Peter Pažitný2, Ruth Waitzberg3
1School of Economics and Business Administration, University of Tartu, Narva Rd 18-4020, 51009 Tartu, Estonia.
Health policy (Amsterdam, Netherlands)
|July 10, 2025
概括
这项研究分析了29个国家的医疗保健收入收集情况,发现法国最进步,拉脱维亚,匈牙利和保加利亚最不进步. 政策选择显著影响系统的公平性和渐进性.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健系统比较研究
背景情况:
- 评估了29个高收入国家的公共和私人医疗保健收入征收的渐进性.
- 使用公共 (所得税,社会保险,消费税) 和私人 (自愿医疗保险,自付款) 收入来源的先前定性得分.
研究的目的:
- 为每个国家计算一个整体的医疗保健收入征收渐进度得分.
- 根据每个国家卫生系统中的财务份额来权衡个别收入来源的分数.
主要方法:
- 从以前的研究中获得的综合和加权的渐进度得分.
- 运用经合组织和欧盟统计局关于医疗保健融资和政府收入的宏观数据进行加权.
主要成果:
- 法国展示了最进步的医疗保健收入系统.
- 拉脱维亚,匈牙利和保加利亚表现出最不进步的系统.
- 富裕国家和收入不平等较低的国家通常表现出更高的进步性.
结论:
- 对自付支付的高度依赖与回归系统相关,这表明股权的作用有限.
- 基于税收的制度本身并不渐进,特别是那些征收大量消费税的制度.
- 政策干预对于提高健康收入收集的渐进性至关重要,即使是私人资金来源.
更多相关视频
相关概念视频
Methods Of Healthcare Delivery System
3.5K
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...
3.5K
Health Information Technology and Healthcare Information System
933
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:
933
Issues And Trends In Healthcare Delivery System
5.9K
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...
5.9K
Introduction To Health Care Delivery System
3.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.2K
Secondary Healthcare System
1.6K
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...
1.6K
Hospitals-I
920
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
920


