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[Age standardization of preventive value in a health technology assessment system]
1Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, 115088, Moscow, Russia.
Introduction:
Value-based healthcare implies a transition from measuring care volume to assessing outcomes meaningful for patients and healthcare systems. For preventive technologies and organizational interventions, this transition requires age standardization, since age groups differ in preventive behavior, future-related anxiety, and infrastructure engagement.
Aim:
To develop and test an age-based model for standardizing preventive value using aggregated indicators of medical examination, future-related anxiety, and use of sports infrastructure.
Materials And Methods:
Aggregated SZN data for 2023-2024 were used. The unit of analysis was an age group of the population aged 15 years and older; 14 age groups were included. Normalized indices of commonality, control, infrastructure sufficiency, psychosocial resilience, monitoring stability, integrated standard score, and priority score were calculated. Principal component analysis, age-group clustering, and age-trend tests were applied.
Results:
The first 2 components explained 89.84% of variance. The first component reflected preventive and infrastructure engagement, whereas the second reflected preventive control. Three age profiles were identified: youth, middle age, and older groups.
Conclusion:
Age standardization helps identify groups requiring priority when preventive standards and technologies are introduced and monitored.
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