独立引发的成人和儿童视角的健康状态公用事业可以解释优先设定吗?
Arthur E Attema1, Zhongyu Lang1, Stefan A Lipman1
1EsCHER, Erasmus School of Health Policy & Management (ESHPM), Erasmus University, Rotterdam, The Netherlands.
成年人对儿童健康状况的评估与成年人对健康状况的评估没有显著差异. 然而,在社会选择中,个人表现出强烈的偏好,优先考虑儿童治疗而不是成人治疗.
科学领域:
- 卫生经济学 卫生经济学
- 决策科学 决策科学 决策科学
- 患者报告的结果
背景情况:
- 从儿童的角度来看,评估EQ-5D-Y-3L健康状况的时间权衡 (TTO) 效用通常高于评估自己健康状况的成年人.
- 这种差异意味着经济评估可能低估了与成人相比儿童的好处.
研究的目的:
- 调查视角依赖的健康状况评估是否会影响成人和儿童治疗之间的优先设定决策.
- 探索时间交易权 (TTO) 实用事业和个人交易权 (PTO) 的社会选择之间的关系.
主要方法:
- 从成年受访者获得的四个健康状态的TTO实用程序,对10岁儿童和成年人评估状态.
- 评估社会优先设定偏好,使用PTO任务与相同的健康状态.
- 研究了TTO公用事业对PTO选择的预测能力.
主要成果:
- 基于TTO公用事业的成人和儿童健康状况评估中没有发现显著差异.
- 在PTO任务中观察到,在PTO任务中,对治疗儿童而不是成人有很大的偏好.
结论:
- 视角依赖的健康状态实用程序只解释了儿童和成年人之间优先设定观点的很小一部分.
- 外部股权权重可能是必要的,以考虑往往给儿童健康的更高的社会优先级.
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