公共部门计划中的资源配置:政府部门之间,生命的价值是否有所不同?
Patricia Cubi-Molla1, David Mott2, Nadine Henderson2
1Office of Health Economics, London, UK. pcubi-molla@ohe.org.
Cost effectiveness and resource allocation : C/E
|December 16, 2023
概括
政府在各部门之间使用不一致的生命和健康价值观,阻碍了最佳的公共支出. 标准化这些价值观对于公平的资源分配和明智的政策决策至关重要.
科学领域:
- 公共卫生经济学 公共卫生经济学
- 卫生政策分析 卫生政策分析
- 政府资源分配政府资源分配
背景情况:
- 政府部门将生命价值作为资源分配决策的货币化.
- 在不同政府部门使用的生命和健康价值观中存在差异.
- 不一致的估值实践可能导致公共部门支出中不理想的权衡.
研究的目的:
- 分析和比较各种公共部门在经济评估中使用的生命和健康价值观.
- 根据不同的估值门,识别政府资源分配中的不一致性.
- 提供改善政治进程和评估公共支出价值的证据.
主要方法:
- 对卫生,社会护理,交通和环境领域的政府出版物的文档分析.
- 包括需求侧和供应侧的门,表示愿意为健康收益付出代价.
- 检查关键国家的经济评估实践:澳大利亚,加拿大,日本,新西兰,荷兰和英国.
主要成果:
- 质量调整寿命年 (QALY) 的值经常被用作交通和环境部门的需求侧值,经常超过卫生部门的值.
- 部门之间存在估值门的显著差异,即使是在同一政府内.
- 各部门的资源分配决定似乎以未明确的配给规则为指导.
结论:
- 在公共部门部门中比较政府支出结果是可行的,并且对于最佳的资源配置是必要的.
- 识别和量化相关社会属性的价值对于公开支出的公平和高效是必不可少的.
- 标准化估值方法可以提高公共部门经济评估的一致性和透明度.
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