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عوامل مؤثر بر هزینه‌های سلامت در ایران و کشورهای عضو سند چشم‌انداز 1404

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، اقتصاد سلامت، گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استادیار، اقتصاد سلامت، مرکز تحقیقات مدیریت و اقتصاد سلامت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: رشد فزاینده هزینه‌های سلامت در کشورها و مناطق مختلف جهان باعث شده است تا توجه به عوامل تأثیرگذار بر هزینه‌های سلامت به یک مسأله مهم برای سیاست‌گذاران حوزه سلامت تبدیل شود. پژوهش حاضر با هدف تعیین عوامل مؤثر بر هزینه‌های سلامت در ایران و کشورهای عضو سند چشم‌انداز 1404 انجام شد.روش بررسی: این مطالعه از نوع توصیفی- تحلیلی بود که با استفاده از داده‌های بانک جهانی برای ایران و کشورهای عضو سند چشم‌انداز 1404 در طی سال‌های 1995 تا 2014، تأثیر متغیرهای تولید ناخالص داخلی GDP (Gross Domestic Product) سرانه، نرخ شهرنشینی، نرخ بیکاری، درصد جمعیت 14-0 سال، درصد جمعیت 65 سال و بیشتر، نرخ رشد جمعیت، تعداد تخت بیمارستان و تعداد پزشک را بر هزینه‌های سلامت بررسی نمود. برآورد مدل با استفاده از الگوی داده‌های تابلویی صورت گرفت.یافته‌ها: متغیرهای GDP سرانه، نرخ شهرنشینی و درصد جمعیت 65 سال و بیشتر، تأثیر مثبت و معنی‌داری بر هزینه‌های سلامت داشت. نرخ بیکاری، درصد جمعیت 14-0 سال و تعداد تخت بیمارستان نیز تأثیر منفی و معنی‌داری را بر هزینه‌های سلامت نشان داد.نتیجه‌گیری: نرخ شهرنشینی و درصد جمعیت 65 سال و بالاتر، بیشترین تأثیر را در افزایش هزینه‌های سلامت دارد. بنابراین، سیاست‌گذاران و برنامه‌ریزان حوزه سلامت می‌توانند سیاست‌های مناسب را برای کاهش هزینه‌های سلامت طراحی کنند و در جهت فراهم‌سازی زیربناهای اقتصادی، اجتماعی و نظام سلامت در آینده اقدام نمایند.

کلیدواژه‌ها

عنوان مقاله [English]

Determinants of Health Expenditures in Iran and Other Country Members of Perspective Document of 1404 of Iran

نویسندگان [English]

  • Hamed Shabani 1
  • Reza Rezayatmand 2
  • Farzaneh Mohammadi 2

1 MSc Student, Health Economics, Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Health Economics, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Introduction: Ever rising of health expenditure all over the world has shifted policy makers’ attention toward the determinants of health expenditures. The purpose of this study was to investigate the determinants of health expenditures in Iran and the other member countries which are the members of Perspective Documents of 1404 (Hijri) of Iran.Methods: This was a descriptive-analytic study which investigated the impact of gross domestic product (GDP)/capita, urbanization rate, unemployment rate, the percentage of the population between 0 to 14 years old, the percentage of the population older than 65 years and above, population growth rate, number of hospital beds, and number of physicians on health expenditures using panel data from World Bank during 1995-2014 for Iran and other country members of the Perspective Document of 1404 of Iran.Results: GDP/capita, urbanization rate, and the percentage of the population older than 65 years and above had a positive impact on health expenditures. Unemployment rate, the percentage of the population between 0 and 14 years old and number of hospital beds had a negative impact on health expenditures.Conclusion: The results of this study showed that urbanization rate and the percentage of the population older than 65 had the greatest impact on rising health expenditures. These findings can be used by policy makers in the health sector to design a better future for the health of the population while containing the health expenditures.

کلیدواژه‌ها [English]

  • Health Expenditures
  • Iran
  • Aging
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مدیریت اطلاعات سلامت
دوره 16، شماره 1 - شماره پیاپی 1
اردیبهشت 1398
صفحه 18-23
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هم رسانی
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