代理偏好和儿童健康国家的价值观
1Rutgers University, Center for Population-Level Bioethics, 112 Paterson Street, Rm 400, New Brunswick, NJ, 08901, USA. dhausman@cplb.rutgers.edu.
PharmacoEconomics
|July 22, 2024
概括
卫生经济学家不应该仅仅依赖成年人的偏好来评估儿童的健康状况. 包括儿童和专家在内的审议小组为儿童健康状况赋值提供了更强大的方法.
科学领域:
- 卫生经济学 卫生经济学
- 儿科健康结果的结果
- 偏好诱导是一种诱导.
背景情况:
- 对儿童健康状况的赋值对于健康经济学评估至关重要.
- 当前的方法往往依赖于成年代理人的偏好,这引发了关于有效性的问题.
- EQ-5D-Y是用于测量儿科健康状况的常用仪器.
研究的目的:
- 批判性地评估使用成人代理偏好来评估儿童的健康状况.
- 提出一种替代方法来获得对儿科健康结果的偏好.
- 讨论成人偏好调查的证据,纳税人和务实理由的局限性.
主要方法:
- 对有关儿童健康状况偏好诱导的现有文献进行批判性分析.
- 讨论使用成年人口样本的三个建议理由.
- 关于使用包括儿童,专家和公众在内的审议小组的论点.
主要成果:
- 使用成年代理人偏好的证据,纳税人和务实理由受到批评.
- 成人代理偏好可能不准确地反映儿童健康状况的价值.
- 建议采用审议方法作为一种优越的替代方案,以获得偏好.
结论:
- 仅仅依靠成年人的代理偏好来评估儿童的健康状况是有问题的.
- 为更准确的价值赋值,建议结合多种观点的审议小组.
- 未来的研究应该专注于实施和验证儿科健康经济学中的审议方法.
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