对于EQ-5D-YY的荷兰和中国价值的年龄依赖性的调查
Brigitte Essers1,2, Pei Wang3, Elly Stolk4
1Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, Maastricht, Netherlands.
Frontiers in psychology
|October 20, 2023
概括
在荷兰,健康状况值显示年龄依赖程度有限,但在中国,年龄差异很大. 这些发现凸显出需要对与健康相关的生活质量 (HRQoL) 和寿命年数进行特定环境的评估.
科学领域:
- 卫生经济学 卫生经济学
- 生活质量研究 研究 生命质量研究
- 心理测量 心理测量 心理测量
背景情况:
- 健康状态值对于健康经济评估至关重要.
- 了解评估健康的年龄相关差异对于政策和资源分配至关重要.
- 离散选择实验 (DCE) 用于引起对健康结果的偏好.
研究的目的:
- 调查健康状况值的年龄依赖性,该值来自与健康相关的生活质量 (HRQoL) 和寿命年之间的权衡.
- 为了确定个人是否在不同年龄组 (儿童,青少年,成年人,老年人) 中对生命年和HRQoL的价值有所不同.
主要方法:
- 对来自荷兰和中国的参与者进行了离散选择实验 (DCE).
- 参与者完成了涉及EQ-5D-Y状态和寿命的选择任务,以及与不同HRQoL和预期寿命相比较生命的任务.
- 选择模型被用来估计健康一年的价值,不良健康的无用性和折扣率,同时探索特定年龄的反应.
主要成果:
- 在控制时间偏好后,荷兰对跨年龄段的健康状况价值的共识在荷兰比中国更强.
- 在样本之间没有观察到质量调整后生命年 (QALY) 构成差异的一致模式.
- 响应概率在寿命或严重程度谱的极端端变化最大.
结论:
- 年龄对健康状况值的影响是面积和国家特定的.
- 在荷兰发现年龄依赖程度有限,与成年人相比,年轻年龄组存在一些差异.
- 在中国观察到明显的年龄依赖,特别是在老年人中,这表明现有价值可能需要对当地环境进行评估.
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