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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Health Investment Management and Healthcare Quality in the Public System: A Gender Perspective
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Health Investment Management and Healthcare Quality in the Public System: A Gender Perspective

机译：在公共系统中的健康投资管理和医疗质量：性别观点

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The aim of this empirical research was to provide useful information for health system managers on the costs and investments involved in improving the quality of the National Health Service (NHS) based on patient assessments and from a gender perspective, i.e., without assuming that the perceived experience is identical for men and women. A cross-sectional study of 31 variables was applied using partial least squares structural equation modeling (PLS-SEM) as a research tool. The data were obtained from the Spanish Ministry of Health, Consumption, and Social Welfare for the entire Spanish territory between 2005 and 2018. The influence of expenditure, resource allocation, and mortality was hypothesized with regard to patient satisfaction according to disconfirmation theory. Patient satisfaction reflects clinical effectiveness, and therefore is a measure of health system quality. The results show that women are more sensitive to public investment in health than men, i.e., an increase in the level of spending and resources increases satisfaction more in women. In both sexes, the level of expenditure has a direct influence on patient satisfaction, and therefore on the quality of the healthcare system. It is important to increase spending on primary care, especially on specialized medical care and diagnostic equipment. However, reducing the use of drugs in favor of alternative treatments or therapies is considered to be positive. Likewise, spending has an impact on available resources, and these, in turn, have a positive influence on the level of use and a negative impact on mortality. Resources, especially healthcare staff, nuclear magnetic resonance equipment, and the number of posts in day hospitals, increase patients’ positive perception of the NHS.
机译：本实证研究的目的是为卫生系统管理人员提供有关卫生系统管理人员对提高国家卫生服务质量（NHS）的成本和投资的有用信息，并根据患者评估以及性别观点，即不承担感知的情况男女的经验是相同的。使用局部最小二乘结构方程式建模（PLS-SEM）作为研究工具应用了31个变量的横截面研究。 2005年至2018年期间，从西班牙卫生，消费和社会福利部获得了数据。根据DisconFirmation理论，支出，资源分配和死亡的影响是关于患者满意度的假​​设。患者满意度反映了临床效果，因此是卫生系统质量的衡量标准。结果表明，女性对公共健康投资比男性更敏感，即，即在妇女上的支出和资源水平的增加会增加。在两性中，支出水平对患者满意度直接影响，因此对医疗保健系统的质量影响。增加初级保健支出是重要的，特别是在专业的医疗和诊断设备上。然而，减少药物支持替代治疗或疗法的使用被认为是阳性的。同样，支出对现有资源产生了影响，而这些资源又对使用水平和对死亡率产生负面影响的积极影响。资源，尤其是医疗保健人员，核磁共振设备以及日医院的帖子数量，增加患者对NHS的积极感知。

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