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自我报告的健康状况下降对德国EQ-5D-5L值的影响
Svenja Elkenkamp1, Kristina Ludwig1, Wolfgang Greiner1
1Department of Health Economics and Health Care Management, Bielefeld University, Bielefeld, Germany.
德国EQ-5D-5L健康状况偏好在一般人群和有健康障碍的个人之间是一致的. 这项研究没有发现估值的显著差异,这表明目前的德国价值设置是强大的不同群体.
科学领域:
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
- 生活质量研究 研究 生命质量研究
背景情况:
- 德国的EQ-5D-5L值集反映了一般人口的偏好.
- 关于患者偏好是否应该取代德国一般人口数据存在争议.
- 本研究涉及现有估值数据的稳定性.
研究的目的:
- 为了比较德国普通人口和健康障碍的个人之间的EQ-5D-5L偏好.
- 评估德国EQ-5D-5L值在不同健康状况中的有效性.
- 为正在进行的关于健康评估中偏好数据的辩论提供信息.
主要方法:
- 根据使用EQ-5D-5L的自我报告生活质量创建了子组.
- 用控制偏好异质性的虚拟变量进行回归模型.
- 向后选择确定了显著的子组 (状态11111,严重程度5-7,疼痛/不适问题).
主要成果:
- 确定了三个显著的子组人形.
- 分组的价值集显示了与德国国家价值集的边际偏差 (平均绝对偏差为0.0040.013).
- 对于跨值集的下降,没有发现不同的密度.
结论:
- 自我报告的健康状况下降的个人与德国普通人口有着相似的EQ-5D-5L健康状态偏好.
- 德国的EQ-5D-5L值集在这些群体中看起来很强大.
- 建议进行进一步的研究,以探索慢性疾病对健康状况评估的影响.
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