THE DETERMINANTS OF HOSPITAL UTILIZATION UNDER A UNIVERSAL PUBLIC INSURANCE PROGRAM IN CANADA
THE DETERMINANTS OF HOSPITAL UTILIZATION UNDER A UNIVERSAL PUBLIC INSURANCE PROGRAM IN CANADA
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DOI：
10.1097/00005650-198707000-00009
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发表时间：
1987-07-01
期刊：
影响因子：
3
通讯作者：
ANGUS, DE
中科院分区：
文献类型：
--
作者：
MANGA, P;BROYLES, RW;ANGUS, DE
本研究以个人为分析单位，检视医疗需要、社会人口学及经济因素在决定使用或不使用医院护理服务方面的相对重要性，以及在研究期间经历过一次住院治疗的人所使用的服务量。这些数据来自加拿大健康调查，这是对整个人口的分层、多阶段抽样。判别分析和加权回归分析的结果表明，使用或不使用医院服务和服务量在很大程度上取决于医疗需求，而不是由收入决定。调查结果支持这样一种观点，即加拿大的国家医疗保险计划导致了医院护理的更公平分配
This study employs the individual as the unit of analysis to examine the relative importance of medical need, sociodemographic and economic factors in determining the use or non-use of hospital care and the volume of service consumed by those who experienced an episode of hospitalization during the study period. The data were derived from the Canada Health Survey which is a stratified, multistaged sample of the entire population. The results of the discriminant and weighted regression analyses indicate that the use or non-use of hospital care and the volume of service consumed are largely determined by medical need and not by income. The findings are supportive of the view that the national health insurance scheme in Canada has resulted in a more equitable distribution of hospital care