花得少,赚得多?解释加拿大和意大利之间的医疗支出和结果差异

IF 0.7 Q3 ECONOMICS
L. D. Matteo, T. Barbiero
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引用次数: 2

摘要

加拿大在人均卫生支出和占国内生产总值的比例上都超过了意大利,人均国内生产总值也更高。然而,随着时间的推移,意大利的预期寿命和婴儿死亡率有所提高。言下之意是,意大利的医疗保健系统提供了更好的性价比。我们研究了意大利是否确实以更低的成本获得了更好的健康结果。通过回归分析,我们发现加拿大和意大利的医疗支出是由相似的驱动因素决定的。我们还发现,任何一个国家更多的社会支出和医疗支出都不能令人满意地解释健康结果的差异,这表明收入和生活方式选择等更广泛的社会经济决定因素的重要性。我们得出的结论是,虽然加拿大的人均医疗支出水平高于意大利,但这在一定程度上反映了加拿大医疗支出的历史惯性,部分原因是医疗专业人员的成本高于意大利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spend Less, Get More? Explaining Health Spending and Outcome Differences Between Canada and Italy
Canada spends more than Italy on health per capita and as a share of GDP and has a higher per capita GDP.  Yet, life expectancy and infant mortality in Italy are better and have improved more over time.  The implication is that the Italian health care system provides better value for money.  We examine whether Italy does get better health outcomes at lower costs. Using regression analysis, we find that health spending is determined by similar drivers in both Canada and Italy.  We also find that more social spending and health spending in either country do not satisfactorily explain the differences in health outcomes, suggesting the importance of broader socio-economic determinants like income and life-style choices.  We conclude that while the levels of per capita health spending in Canada are higher than Italy, this partly reflects historical inertia in Canadian health spending partially attributable to the higher costs of health professionals relative to Italy.
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
10
审稿时长
26 weeks
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