针对晚期疾病患者的治疗补贴的社会偏好:一个离散选择实验
Drishti Baid1, Darius N Lakdawalla1, Eric A Finkelstein2
1Sol Price School of Public Policy, University of Southern California, Los Angeles, CA, USA; Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA.
Value in health regional issues
|June 5, 2024
概括
社会愿意为延长寿命的治疗提供资金随着增量增长而减少,并且在排除老年人时不会增加. 公共偏好表明,在没有年龄限制的情况下,增加寿命延长的成本效益门更高.
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
- 决策分析 决策分析
背景情况:
- 成本效益分析 (CEA) 指导医疗保健资金,但可能与公众对延长寿命治疗的偏好不一致.
- 标准CEA假设可能过于简化了社会对生存和生活质量 (QoL) 收益的估值.
研究的目的:
- 调查公众对延长寿命治疗的政府补贴的偏好.
- 测试是否愿意为治疗提供资金随着增量生存/QoL增长而减少,并在排除最年长的老年人时增加.
主要方法:
- 在新加坡,对425名参与者进行了一项基于网络的离散选择实验.
- 受访者根据成本,年龄,存活时间 (2-12个月) 和QOL评估假设的治疗方法.
- 隐性类型模型分析了政府补贴分配的偏好.
主要成果:
- 两种不同的公共偏好类别出现了.
- 大多数人群以下降的速度来评估增量生存和QoL增长,并且愿意提供高额资金 (SGD 16,825-91,027/患者/月).
- 除了最年长的老年人之外,没有任何阶级受到青;随着基于年龄的排斥,资助的意愿并没有增加.
结论:
- 成本效益门可能会随着寿命的延长而增加.
- 基于年龄的补贴限制不受公共偏好支持.
- 公共偏好为改进医疗保健补贴政策提供了有价值的见解.
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