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估计心理健康生活质量调查问卷 (MHQoL) 的基于偏好的值集
Frédérique C W van Krugten1,2,3, Marcel F Jonker1,2,3, Sebastian F W Himmler1,2,3
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam (ESHPM), Rotterdam, The Netherlands.
概括
为心理健康生活质量调查问卷 (MHQoL) 制定了一个新的荷兰价值设置. 这使得荷兰精神卫生保健干预措施的成本效益分析成为可能,优先考虑身体健康,情绪和人际关系.
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
- 心理健康研究 心理健康研究
背景情况:
- 卫生经济评估往往缺乏足够的心理健康护理福利措施.
- 心理健康生活质量问卷 (MHQoL) 是一种标准化工具,用于心理健康相关的生活质量.
- 需要为MHQoL设置荷兰价值来进行成本效益分析.
研究的目的:
- 为了获得MHQoL的荷兰价值,我们设置了HQoL.
- 为了促进MHQoL在荷兰成本效益分析中的使用.
- 改善心理健康护理干预效益的测量和估值.
主要方法:
- 一个离散选择实验 (DCE) 用于1308名荷兰成年人的代表样本.
- 该DCE适应非线性时间偏好,并使用贝叶斯异质D-效率设计.
- 参与者从10个不同的子设计中完成了15个匹配的双向选择任务.
主要成果:
- 身体健康,情绪和人际关系被确定为最重要的维度.
- 系数一般处于预期的方向,与MHQoL的单调结构保持一致.
- 预测的MHQoL值从-0.741 (最差状态) 到1 (最佳状态) 之间.
结论:
- 一个为MHQoL设置的荷兰价值被成功推导出来.
- 这一值集可以在QALY尺度上生成MHQoL状态的索引值.
- 导出的价值集支持荷兰精神卫生保健干预措施的成本效益分析.
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