Methodological issues in health economics research relevant to women

Charlotte F. Muller
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Abstract

Correct specification of a number of definitions and problems is essential for realistic and useful research in health economics. Societal values with regard to women's status and roles are reflected in current concepts, which need review. For example, health status is a concept with many applications. Two areas of health status are discussed: (i) Definitions of severity for adult males, children and adult females all reflect the female role as caretaker. (ii) Reproductive efficiency should be incorporated into a life-cycle-oriented concept of health status for women.

The evaluation of patient time as an input into health care is conditioned by women's labor force participation and the extent of the earnings differential by sex. Additionally, a concept of a block of time as capital that is available for optimal reproduction or optimal career investment would be useful in tracing important effects of improved fertility-related health care and for other purposes.

Specifications for a health care service and financing system that is responsive to women's health needs must include an appropriate definition of comprehensiveness in relation to fertility control and pregnancy, relative financial burdens for women based on their utilization, need, income and other characteristics, and compatibility of payment methods with health care objectives.

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与妇女有关的卫生经济学研究中的方法问题
对一些定义和问题的正确说明是现实和有益的卫生经济学研究的必要条件。关于妇女地位和作用的社会价值反映在目前的概念中,这些概念需要审查。例如,健康状态是一个具有许多应用程序的概念。讨论了健康状况的两个方面:(i)成年男性、儿童和成年女性的严重程度定义都反映了女性作为看护人的作用。㈡生殖效率应纳入面向妇女生命周期的健康状况概念。对病人时间作为保健投入的评价取决于妇女的劳动力参与情况和男女收入差别的程度。此外,将一段时间作为可用于最佳生育或最佳职业投资的资本的概念,将有助于追踪改善与生育有关的保健的重要影响,并有助于其他目的。满足妇女健康需要的保健服务和筹资系统的规格必须包括对生育控制和怀孕方面的全面性的适当定义,根据妇女的利用、需要、收入和其他特点对妇女的相对经济负担的定义,以及支付方式与保健目标的兼容性。
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