公众对社会资源在不同医疗保健目的上的分配的偏好
Sander Boxebeld1, Tom Geijsen2, Charlotte Tuit2
1Department of Health Economics, Erasmus School of Health Policy & Management (ESHPM), Erasmus University Rotterdam, the Netherlands; Erasmus Choice Modelling Centre (ECMC), Erasmus University Rotterdam, the Netherlands; Erasmus Centre for Health Economics Rotterdam (EsCHER), Erasmus University Rotterdam, the Netherlands.
Social science & medicine (1982)
|January 4, 2024
概括
荷兰公民普遍支持增加医疗保健支出,特别是用于老年护理,新药和心理健康. 然而,对于特定的医疗保健预算拨款的公共偏好存在显著差异,这凸显了需要考虑不同公民优先事项的需要.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 社会科学 社会科学 社会科学
背景情况:
- 医疗保健支出不断增加,需要政府做出艰难的优先决策.
- 公共偏好对于加强对资源分配战略的支持至关重要.
- 现有的研究主要集中在治疗/患者组分配上,对广泛的医疗保健目的优先级的关注较少.
研究的目的:
- 为了检查公共偏好医疗保健预算分配在荷兰的各种目的.
- 了解公民如何优先考虑不同医疗保健部门的支出.
主要方法:
- 一个参与式价值评估 (PVE) 选择实验,涉及1408名荷兰受访者.
- 受访者将一个假设的预算分配给了八个医疗保健目的,其中有可调整的默认支出.
- 隐藏类集群分析 (LCCA) 用于识别偏好异质性.
主要成果:
- 平均偏好倾向于增加所有医疗保健目的的支出,特别强调老年护理,新药和精神卫生保健.
- 三个不同的偏好集群出现了:适度增加,大幅增加和医疗保险费率降低.
- 在确定的集群中,在预算分配偏好中观察到显著的异质性.
结论:
- 荷兰大多数公民都赞成增加医疗保健支出.
- 关于优先考虑的特定医疗保健目的,存在相当大的公众偏好异质性.
- 纳入公共偏好可以加强对医疗保健优先级决策的支持.
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