在成本效益分析中使用儿科HRQoL的特定年龄值:有问题需要解决吗? 如果是这样,怎么办?
Nancy J Devlin1, Tianxin Pan2, Mark Sculpher3
1Health Economics Unit, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie St, Melbourne, VIC, 3010, Australia. nancy.devlin@unimelb.edu.au.
PharmacoEconomics
|July 13, 2023
概括
儿科健康的价值组 (EQ-5D-Y-3L) 与成人组不同,可能是由于措辞或受访者观点. 了解这些差异对于对医疗保健资源分配进行准确的经济评估至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 儿童生活质量测量 儿童生活质量测量
- 心理测量 心理测量 心理测量
背景情况:
- 对于EQ-5D-Y-3L (儿童特定仪器) 的值集,与成人EQ-5D值集相比,显示出不同的特征.
- 关键的差异包括最糟糕的健康状况的较高值和儿科组的较少负值.
研究的目的:
- 调查儿童和成人健康价值观之间的差异背后的原因.
- 探索这些差异对使用EQ-5D-Y-3L值在医疗保健资源分配的经济评估中的影响.
主要方法:
- 该研究提出了观察到的价值组差异的四种潜在解释.
- 其中包括描述性严重程度的差异,成年人对儿童健康的看法,对他人的偏好,以及对儿童生存的"死亡=0"的定.
主要成果:
- 现有证据并不排除价值观上升偏差是由于引起对他人的偏好或儿童生存考虑.
- 这些因素可能会影响儿科健康相关生活质量 (HRQoL) 值的解释和应用.
结论:
- 与成人集合相比,EQ-5D-Y-3L值集的差异需要在经济评估中仔细考虑.
- 评估儿科HRQoL的其他非年龄特定方法可以减轻非可比性问题.
- 卫生技术评估机构必须针对儿童的质量调整寿命年增长做出具体考虑.
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