BMJ:英国国民健康服务体系(NHS)实施效果显著

2019-11-29 MedSci MedSci原创

英国国民健康服务体系(NHS)表现良好,但在支出、患者安全和人口健康状况方面低于其他发达国家的平均水平

近日研究人员考察了英国国民医疗服务体系(NHS)与其他高收入国家之间的差异。

研究人员利用欧盟统计局和经济合作与发展组织等主要国际组织的二级数据进行的观察研究。比较了英国和9个其他高收入国(澳大利亚、加拿大、丹麦、法国、德国、荷兰、瑞典、瑞士和美国)的医疗体系差异。主要终点涉及79项指标,涵盖7个领域,包括:人口和医疗保健覆盖率、医疗保健和社会支出、结构能力、利用率、获得医疗保健的机会、医疗保健质量和人口健康。

2017年,与所有其他研究国家相比,英国人均医疗支出最低(英国为3825美元vs其他国家平均5700美元),支出增幅略低(前四年占国内生产总值(GDP)的0.02% vs其他国家平均为0.07%)。英国的未满足需求率最低,人均医生和护士人数也最低,尽管其利用率(住院人数)处于平均水平。英国的平均预期寿命(81.3岁vs平均81.7岁)和癌症生存率(包括乳腺癌、宫颈癌、结肠癌直肠癌)略低于平均水平。英国在一些医疗服务结果较差,如腹部手术后的脓毒症(UK 2454/10万次出院vs平均2058/10万次出院)、急性心肌梗死的30天死亡率(UK 7.1%vs平均5.5%)和缺血性卒中(UK 9.6%;平均6.6%),英国在关节手术后深静脉血栓形成的发生率低于平均水平,与医疗相关的感染风险更低。

研究认为,英国国民健康服务体系(NHS)表现良好,但在支出、患者安全和人口健康状况方面低于其他发达国家的平均水平。

原始出处:


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    2020-07-06 gaoxiaoe
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    2019-12-01 小几洁
  5. [GetPortalCommentsPageByObjectIdResponse(id=1924993, encodeId=261e19249939f, content=<a href='/topic/show?id=993b60e2313' target=_blank style='color:#2F92EE;'>#服务体系#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60723, encryptionId=993b60e2313, topicName=服务体系)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80a244, createdName=d830372, createdTime=Sun Apr 12 07:06:00 CST 2020, time=2020-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848900, encodeId=f58818489008e, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Mon Jul 06 19:06:00 CST 2020, time=2020-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2009337, encodeId=d118200933eba, content=<a href='/topic/show?id=39922e84641' target=_blank style='color:#2F92EE;'>#健康服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27846, encryptionId=39922e84641, topicName=健康服务)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Wed Jul 29 14:06:00 CST 2020, time=2020-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1515279, encodeId=bc1915152e9fa, content=<a href='/topic/show?id=402a12e83da' target=_blank style='color:#2F92EE;'>#NHS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12783, encryptionId=402a12e83da, topicName=NHS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=626110750337, createdName=小几洁, createdTime=Sun Dec 01 10:06:00 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046956, encodeId=933a1046956d2, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Nov 29 22:06:00 CST 2019, time=2019-11-29, status=1, ipAttribution=)]
    2019-11-29 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

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