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首页> 外文期刊>International journal of health economics and management. >Going beyond life expectancy in assessments of health systems' performance: life expectancy adjusted by perceived health status
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Going beyond life expectancy in assessments of health systems' performance: life expectancy adjusted by perceived health status

机译：在评估卫生系统绩效方面超出预期寿命：预期寿命由感知的健康状况调整

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International comparisons of health systems data have been used to guide health policy. Health systems performance is generally evaluated on how different factors contribute to mortality and longevity. Fewer studies scrutinize the factors that determine morbidity in different countries, partly because indicators that assess morbidity on a country level are not as widely available as mortality and longevity data. We introduce a new health status indicator able to combine mortality and morbidity in a single composite measure for each country and gender at a point in time (LEAPHS), yielding the average number of years that men (women) can expect to live in "good" (or better) health. Using the Sullivan method we combine the mortality risk, calculated for specific age and gender groups, with perceived health status for the same age and gender groups, and we estimate how medical care and various socio-economic, environmental and structural, lifestyle, and technological factors affect LEAPHS and life expectancy at birth for a large panel of thirty OECD countries. We find that some variables (alcohol consumption, urbanization) have a significant effect on both LEAPHS and life expectancy, while one variable (the number of hospitals) has a significant effect for both genders on life expectancy only. However, the effects of many other variables (health expenditure per capita, health expenditure per capita squared, GDP growth, and technology) were only significant predictors for LEAPHS. This leads us to conclude that LEAPHS is able to capture the impact of some health determinants not captured by life expectancy at birth. While we believe this new measure may be useful for health economists and statisticians doing cross-country analyses, further comparisons with other measures may be useful.
机译：卫生系统数据的国际比较已用于指导卫生政策。通常根据不同因素如何影响死亡率和寿命来评估卫生系统的绩效。较少的研究会仔细研究决定不同国家发病率的因素，部分原因是在国家/地区一级评估发病率的指标不如死亡率和寿命数据那么广泛。我们引入了一种新的健康状况指标，该指标可以在一个时间点针对每个国家和性别将综合使用死亡率和发病率的综合指标（LEAPHS），得出男性（女性）可以预期的平均寿命（（或更好）健康。使用Sullivan方法，我们将针对特定年龄和性别组计算的死亡风险与针对相同年龄和性别组的感知健康状况相结合，并估计医疗保健以及各种社会经济，环境和结构，生活方式以及技术水平影响30个经合组织国家中的大部分的LEAPHS和出生时预期寿命的因素。我们发现，某些变量（酒精消耗，城市化）对LEAPHS和预期寿命均具有显着影响，而一个变量（医院数量）对男女均仅对预期寿命具有显着影响。但是，许多其他变量（人均医疗保健支出，人均医疗保健支出的平方，GDP增长和技术）的影响只是LEAPHS的重要预测指标。这使我们得出结论，LEAPHS能够捕获某些健康决定因素的影响，而这些因素并未在出生时的预期寿命中得到体现。尽管我们认为这项新措施可能对进行跨国分析的卫生经济学家和统计学家有用，但与其他措施进行进一步的比较可能是有用的。

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