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健康的社会价值:33 个欧洲国家预期寿命差距的前沿分析。

The social value of health: A frontier analysis of life expectancy gaps across 33 European countries.

机构信息

University of Rome Tor Vergata, Italy.

University of Rome Tor Vergata, Italy.

出版信息

Health Policy. 2023 Jul;133:104824. doi: 10.1016/j.healthpol.2023.104824. Epub 2023 Apr 23.

Abstract

We estimate the life expectancy gaps that can be bridged by improving the quality of public health and health care policies at the country level. Our model calculates the net effect of amenable deaths on life expectancy after controlling for time effects and factors affecting amenable deaths related to education, health policies (health expenditure to GDP and waiting lists), and per capita income in a two equation system. We further estimate the life expectancy gap that countries with lower quality health systems can bridge by catching up and reaching the existing health quality frontier and compute the social value of that upside potential.

摘要

我们估计通过改善国家层面的公共卫生和医疗保健政策质量,可以弥合预期寿命差距。我们的模型通过控制时间效应和与教育、卫生政策(卫生支出占 GDP 比例和候诊名单)以及人均收入相关的可避免死亡因素,在一个二方程系统中计算了可避免死亡对预期寿命的净影响。我们进一步估计了卫生系统质量较低的国家通过追赶并达到现有卫生质量前沿所能弥合的预期寿命差距,并计算了这种潜在收益的社会价值。

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