Mongolia's Public Spending On Noncommunicable Diseases Is Similar To The Spending Of Higher-Income Countries.

Autor:	Dugee O; Otgontuya Dugee is a doctoral student in the School of Public Health and Preventive Medicine at Monash University, in Melbourne, Australia; and a researcher in the Public Health Institute of the Ministry of Health of Mongolia, in Ulaanbaatar., Munaa E; Enkhtuya Munaa is director of the Monitoring and Evaluation Department in the Social Insurance General Office, in Ulaanbaatar., Sakhiya A; Ariuntuya Sakhiya is head of the Statistics and Monitoring Division of the Ulaanbaatar City Health Department., Mahal A; Ajay Mahal (ajay.mahal@unimelb.edu.au) is a professor of health economics and health systems at the Nossal Institute for Global Health, University of Melbourne; and an adjunct professor in the School of Public Health and Preventive Medicine, Monash University.
Jazyk:	angličtina
Zdroj:	Health affairs (Project Hope) [Health Aff (Millwood)] 2017 May 01; Vol. 36 (5), pp. 918-925.
DOI:	10.1377/hlthaff.2016.0711
Abstrakt:	Although there is increased recognition of the global challenge posed by noncommunicable diseases (NCDs), translating that awareness into resources for action requires better data than typically available in low- and middle-income countries. One middle-income country that does have good-quality information is Mongolia. Using detailed administrative data from Mongolia and supplementary survey-based information, we estimated public spending on four NCDs in Mongolia and reached four main conclusions. First, Mongolia's public spending patterns on NCDs are similar to NCD spending observed in countries with much higher per capita incomes. Second, public spending for NCDs is low relative to the NCD disease burden in Mongolia. Third, public-sector NCD spending is dominated by inpatient care and hospital-based specialist outpatient services, which suggests inefficiency in resource use. Finally, while public spending on cardiovascular disease is evenly distributed across regions, for cancers it is heavily concentrated in the nation's capital. (Project HOPE—The People-to-People Health Foundation, Inc.)
Databáze:	MEDLINE
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