Lancet:1990-2015全球医疗保险制度效果评价

2017-05-19 zhangfan MedSci原创

近25年来,全球范围国家医疗保险制度的建立以极大程度改善了居民健康水平,但地区之间的差异也逐渐加大,不发达国家的医疗条件仍较为落后

国家个人医疗保险的效果可以通过非致命疾病导致的意外死亡率估计。之前的医疗保险效果研究往往集中于经济发达国家。近日研究人员对195个国家地区,从1990年至2015年间,全球疾病伤害负担危险因素(GBD)以及医疗保险的效果进行研究。

研究人员定义了32种疾病伤害负担危险因素研究。整理得到调整后的地理年标准化风险因素死亡率并建立医疗保健质量和访问(HAQ)指数(0-100)评价医疗保险的效果并建立HAQ与社会人口统计指标(SDI)的关系。

1990年至2015年间,几乎所有的国家HAQ指数均提高,但最高HAQ指数与最低HAQ国家之间的差距增大,1990年指数差距为28.6,2015年差距为94.6。在195个国家地区中,有167个国家HAQ指数水平显著增长,韩国,土耳其,秘鲁,中国和马尔代夫的增长最快。HAQ指数差异表明地区和发展水平的差异:SDI最高水平国家的主要风险因素是癌症;SDI中等水平国家的主要风险因素是慢性肾脏病、糖尿病、腹泻病、下呼吸道感染;SDI低水平国家的影响因素是麻疹和破伤风。

研究表明,近25年来,全球范围国家医疗保险制度的建立以极大程度改善了居民健康水平,但地区之间的差异也逐渐加大,不发达国家的医疗条件仍较为落后。

原始出处:


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    2017-12-02 howi
  2. 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    2017-06-20 覃医生

    我国离麻疹和破伤风确实远了

    0

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    2017-05-21 xuyu
  4. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Sat May 20 10:35:31 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=200123, encodeId=40e920012304, content=还是贫富差距大啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Fri May 19 21:55:00 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=200050, encodeId=64a720005099, content=这个还真是学到了,不错的文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Fri May 19 16:21:59 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199991, encodeId=135d19999103, content=非常好的文章,很受启发,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri May 19 12:48:41 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199939, encodeId=6c67199939a8, content=学习,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Fri May 19 10:10:23 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-21 huagfeg
  5. 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attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Fri May 19 16:21:59 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199991, encodeId=135d19999103, content=非常好的文章,很受启发,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri May 19 12:48:41 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199939, encodeId=6c67199939a8, content=学习,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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    2017-05-21 feifers
  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Fri May 19 10:10:23 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-20 明天会更好!

    学习过了,值得分享

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Fri May 19 10:10:23 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-19 林3301

    还是贫富差距大啊

    0

  8. 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attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Fri May 19 16:21:59 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199991, encodeId=135d19999103, content=非常好的文章,很受启发,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri May 19 12:48:41 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199939, encodeId=6c67199939a8, content=学习,受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Fri May 19 10:10:23 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-19 131****2916

    这个还真是学到了,不错的文章

    0

  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Fri May 19 10:10:23 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-19 天涯183

    非常好的文章,很受启发,学习了

    0

  10. 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createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Fri May 19 10:10:23 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-19 执着追梦

    学习,受益匪浅

    0

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