非正式的终身护理隐藏成本:多方法分析分析
Laura Lamfre1, María Coller2, Clément Meier3
1Department of Economics, Universidad Nacional del Comahue, Neuquen, Argentina lauralamfre@gmail.com.
BMJ supportive & palliative care
|October 1, 2025
概括
在阿根廷,非正式的终身护理带来了重大的经济成本,女性不成比例地承担了这一代价. 评价这种无偿护理对于性别平等和可持续的卫生系统至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 在生命结束时提供非正式的护理,代表着一个重大的社会贡献.
- 经济评估往往忽视了与非正式护理相关的成本.
- 护理负担的性别差异需要调查.
研究的目的:
- 量化阿根廷非正式终身护理的经济成本.
- 通过性别平等的镜头来分析这些成本.
- 为公共政策和经济评估提供信息.
主要方法:
- 作为iLIVE项目的一部分,利用了来自阿根廷153名非正式照顾者的数据.
- 雇佣了机会成本和代价好的成本估计方法.
- 在基线和30天随访时采集的数据,使用护理人员影响问卷.
- 进行了性别分类分析.
主要成果:
- 照顾者平均每周提供57个小时的照顾,损失了25个小时的报酬工作.
- 社会成本估计在基线为29,293美元 (机会成本) 和32,065美元 (代理商品).
- 女性因无偿照顾而承担的费用是男性的两倍 (女性与男性的比例为2.0).
- 几乎所有的护理人员 (98%) 没有获得任何经济补偿.
结论:
- 在阿根廷,非正式的终身护理给阿根廷带来了重大的经济负担.
- 这种负担不成比例地影响女性,突出性别不平等.
- 承认和重视非正式护理对于公平的卫生系统和政策至关重要.
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