Toward a needs based mechanism for capitation purposes in Italy: the role of socioeconomic level in explaining differences in the use of health services.

Alessio Petrelli, Roberta Picariello, Giuseppe Costa
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引用次数: 6

Abstract

The paper investigated differences in the use of hospital care, out-patient care and pharmaceutical care in Piemonte, a region of northern Italy with 4,000,000 inhabitants, taking into account factors of need and supply, for capitation purposes. The study used a geographical design, with the municipalities as statistical units, and was based on integrated data from health and health service information systems, the population census and on the geographical distances among municipalities. Hierarchical regression models were fitted with the utilisation of services as the outcome variable and a set of direct and indirect factors of need and supply indicators as covariates. Higher health service consumption rates were observed for the most disadvantaged employment categories, in addition to the elderly. Distance from hospital was inversely correlated with the hospitalisation rate. A formula for determining capitation can be developed using age and indirect factors of need as weights.

在意大利建立以需求为基础的人均机制:社会经济水平在解释保健服务使用差异方面的作用。
这篇论文调查了意大利北部有400万居民的皮埃蒙特地区在医院护理、门诊护理和药品护理使用方面的差异,考虑到需求和供应因素,以达到人均目的。这项研究采用地理设计,以各市为统计单位,并根据来自保健和保健服务信息系统、人口普查和各市之间地理距离的综合数据。利用服务作为结果变量和一组需求和供应指标的直接和间接因素作为协变量来拟合层次回归模型。除老年人外,最弱势就业群体的保健服务消费率较高。离医院的距离与住院率呈负相关。一个确定人均收入的公式可以用年龄和间接需求因素作为权重。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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