模型对非正式照顾者的溢出效应:照顾者QALY陷
David J Mott1, Hannah Schirrmacher2, Hareth Al-Janabi3
1Office of Health Economics, 2nd Floor, Goldings House, Hay's Galleria, 2 Hay's Lane, London, SE1 2HB, UK. dmott@ohe.org.
PharmacoEconomics
|September 2, 2023
概括
非正式的照顾对照顾者的生活质量 (QOL) 有溢出效应. 医疗经济模型必须考虑护理人员的质量生活,以避免医疗人员的质量生活.
科学领域:
- 卫生经济学 卫生经济学
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 患者报告的结果
背景情况:
- 非正式的照顾对照顾者的福祉产生了重大影响,产生了"溢出效应".
- 卫生经济模型往往忽视了这些护理者效应,可能误解了技术价值.
- 对照护理人员与健康相关的生活质量 (QOL) 的核算对于HTA的效率和公平性至关重要.
研究的目的:
- 分析护理人员质量生活对健康经济评估的影响.
- 在HTA的背景下引入和探索"护理者QALY陷".
- 讨论潜在的解决方案和审议在解决这个问题的作用.
主要方法:
- 重新审视了经典的"QALY陷"概念.
- 开发一个类似的"护理者QALY陷"框架.
- 分析经济评估,包括护理人员的QOL.
主要成果:
- 纳入护理者QOL可以显著改变净质量调整寿命年 (QALY) 收益和成本效益.
- 照顾者质量生活考虑可能会导致延长寿命的治疗被认为是成本效益低下的.
- "照顾者QALY陷"可能会出现,当包括照顾者QOL减少增量QALY收益时.
结论:
- 严格的QALY最大化可能与照顾者和社会偏好相冲突.
- 决策者可能会陷入"照顾者QALY陷",如果照顾者QOL没有得到适当的考虑.
- 审议在HTA中的这些复杂性中发挥着重要作用.
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