评估澳大利亚牙损伤实用指数
Ruvini M Hettiarachchi1, Sanjeewa Kularatna2, Joshua Byrnes3,4
1Centre for the Business and Economics of Health, The University of Queensland, Brisbane, QLD, Australia.
概括
这项研究开发了一种澳大利亚实用算法,用于牙损伤实用指数 (DCUI),这是一个针对青少年的新口腔健康措施. 该工具有助于对牙损伤干预措施的经济评估,改善口腔保健计划.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
背景情况:
- 基于偏好的措施 (PBMs) 将健康状态分类与经济评估的实用值结合起来.
- 牙虫实用指数 (DCUI) 是一个新的,以青少年为重点的系统,评估五个领域的口腔健康.
- 现有的DCUI实用值缺乏澳大利亚的特异性,限制了它们在当地经济分析中的应用.
研究的目的:
- 为DCUI开发一种澳大利亚特有的实用算法.
- 为了在澳大利亚经济评估中为DCUI进行准确的实用价值计算.
- 支持澳大利亚青少年牙损伤干预措施的成本效益分析.
主要方法:
- 一项针对995名澳大利亚成年人的在线调查使用了离散选择实验 (DCE) 来引起对DCUI健康状况的偏好.
- 隐藏的公用事业被固定到0-1级 (完全健康死亡) 使用视觉模拟尺度 (VAS).
- 使用了条件逻辑模型和映射方法,后者选择了较低的平均绝对误差 (MAE).
主要成果:
- 条件逻辑模型证明了大多数DCUI维度和水平的统计学上显著的估计.
- 绘图方法被证明是优越的,与基于最糟糕的健康状况的定相比,产生较小的MAE.
- 由此产生的澳大利亚DCUI公用事业费从0.1681到1不等,反映了口腔健康状况的范围.
结论:
- 为DCUI成功开发了一种澳大利亚特有的实用算法.
- 这一价值组对于对澳大利亚青少年的牙损伤干预措施进行经济评估至关重要.
- 该算法的可用性将提高口腔保健规划和资源分配的效率和有效性.
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