关爱老年患者：澳大利亚医疗保健系统的质量和效率

IF 1 4区经济学 Q3 ECONOMICS

Australian Economic Review Pub Date : 2024-05-16 DOI:10.1111/1467-8462.12558

Jongsay Yong, Ou Yang

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引用次数: 0

摘要

随着人口老龄化和寿命延长，澳大利亚在照顾老年人方面面临着紧迫的政策问题。在 "医疗保障计划"（Medicare）40 周年之际，评估该系统的运行情况以及需要进行哪些改革才能使其现代化是非常及时的。本文利用医院管理数据对护理的质量和效率进行了研究。我们发现，现行制度为老年患者提供了优质高效的护理，但住在养老院的患者除外。这些患者接受的护理质量较低，但住院时间较长。我们提出了围绕捆绑支付和单一预算持有人设计的替代方法，以激励以团队为基础的综合护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Caring for Older Patients: Quality and Efficiency of Australia's Healthcare System

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Caring for Older Patients: Quality and Efficiency of Australia's Healthcare System

With population ageing and increased longevity, Australia faces pressing policy issues on caring for older people. As Medicare turns 40, it is timely to assess how the system has been performing, and what changes are needed to modernise Medicare. This article examines the quality and efficiency of care using hospital administrative data. We find that the current system provides good quality and efficient care for older patients, except for those living in residential aged care homes. These patients receive lower quality care yet stay longer in hospitals. We suggest alternative approaches designed around bundled payments and a single budget holder to provide incentives for integrated team-based care.

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来源期刊

Australian Economic Review ECONOMICS-

CiteScore

1.90

自引率

10.00%

发文量

期刊介绍： An applied economics journal with a strong policy orientation, The Australian Economic Review publishes high-quality articles applying economic analysis to a wide range of macroeconomic and microeconomic topics relevant to both economic and social policy issues. Produced by the Melbourne Institute of Applied Economic and Social Research, it is the leading journal of its kind in Australia and the Asia-Pacific region. While it is of special interest to Australian academics, students, policy makers, and others interested in the Australian economy, the journal also considers matters of international interest.