长期疾病的门诊护理覆盖范围是否会影响中国的医疗保健利用率和支出? 来自行政索赔数据集的证据
1School of Public Administration, Hunan University, Lushan Road (S), Yuelu District, Changsha, 410082, China. hewen688@hnu.edu.cn.
中国的慢性病覆盖率显著增加了对高血压和糖尿病患者的门诊和支出,导致整体医疗保健成本增加. 对老年人和那些有更好的保险和医疗设施的人来说,影响更大.
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
- 医疗保健管理的管理
背景情况:
- 发展中国家面临着高昂的医疗保健成本和慢性病患者门诊服务不足的挑战.
- 有效的慢性疾病管理对于改善健康结果和控制支出至关重要.
研究的目的:
- 检查慢性疾病保险覆盖对中国高血压和糖尿病患者医疗保健利用和支出的影响.
- 评估扩展门诊保险福利对寻求医疗保健行为和成本的影响.
主要方法:
- 使用来自中国的行政索赔数据集.
- 应用了双向固定效应计量经济学方法.
- 分析了医疗保健利用率 (门诊访问,住院利用率) 和支出.
主要成果:
- 慢性病的覆盖率显著降低了门诊患者的成本共享,增加了针对性服务的利用率和支出.
- 观察到非有针对性的门诊访问,住院患者利用率和相关支出的减少.
- 由于覆盖服务支出增加,总医疗保健支出净增加.
结论:
- 慢性疾病覆盖率影响医疗保健使用模式和总支出.
- 调查结果为优化医疗安全系统和慢性疾病保险计划提供了见解.
- 该研究强调了发展中国家需要适合老年人的,全面的保险政策.
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