特立尼达和多巴哥的EQ-5D-5L估值研究
Henry Bailey1,2, Marcel F Jonker3,4,5, Eleanor Pullenayegum6
1Department of Economics, The University of the West Indies, St Augustine Campus, St Augustine, Trinidad and Tobago. hhbailey@gmail.com.
Health and quality of life outcomes
|July 3, 2024
概括
这项研究开发了一套新的EQ-5D-5L值,用于特立尼达和多巴哥,使用黄金标准的EQ-VT协议. 建议在T&T中进行质量调整后寿命年 (QALY) 计算时使用新的值组.
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
背景情况:
- 目前为特立尼达和多巴哥 (T&T) 设定的EQ-5D-3L值依赖于EQ-5D-5L值的过时方法和穿越算法.
- 为了更高的准确性,更喜欢直接提取EQ-5D-5L值,而不是跨越估计值.
研究的目的:
- 开发一个新的,直接的EQ-5D-5L值设置用于T&T,使用当前的黄金标准EQ-VT协议.
- 为T&T的健康经济评估提供更准确的工具.
主要方法:
- 在T&T中,代表性样本的1,079名成年人完成了复合的时间交易 (cTTO) 和离散选择实验 (DCE) 任务.
- 使用Tobit和混合logit模型分析数据,混合模型将两个数据集结合起来.
主要成果:
- 混合型异种类型的托比特模型产生了统计学上显著的系数和优异的样本外预测性能.
- 新的EQ-5D-5L值组显示了较高的负值比重,相比于横行组 (7.6%对0.7%).
- 在新和交叉值组之间观察到高相关性 (0.879) 和0.157的平均绝对差异.
结论:
- 通过使用EQ-VT协议成功开发了T&T的新EQ-5D-5L值集.
- 在特立尼达和多巴哥,为计算质量调整寿命年 (QALY) 建议使用此值组.
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