照顾者和一般人口对依赖性相关健康状况的偏好比较
Eva Rodríguez-Míguez1,2, Antonio Sampayo3
1ECOBAS, Universidade de Vigo, GRIEE, 36310, Vigo, Spain. emiguez@uvigo.es.
Applied health economics and health policy
|September 10, 2024
概括
非正式的护理人员和普通人群对与依赖相关的健康状况有着相似的偏好. 这种调整表明,成本效益分析和资源分配决策不太可能受到不同偏好数据的重大影响.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 非正式的照顾者在支持依赖者方面发挥着至关重要的作用.
- 了解护理人员对健康状况的偏好对于准确的健康经济评估至关重要.
- 之前的研究并没有广泛地将照顾者偏好与普通人群进行比较.
研究的目的:
- 为了比较非正式照顾者的偏好与一般人口关于依赖性相关的健康状况.
- 评估这些偏好对成本效益分析和资源分配的影响.
主要方法:
- 调查对139名西班牙非正式照顾者和312名普通民众进行了调查.
- 时间交易 (TTO) 方法被用来评估24个对DEP-6D仪器的依赖状态.
- 用描述性统计和回归分析来确定两组之间的差异.
主要成果:
- 在24个依赖状态中的23个状态中,没有发现护理人员和普通人群之间的显著差异.
- 在两个样本的偏好值之间观察到高相关性 (0.96).
- 在严重的认知问题和家务方面出现了较小的显著差异,护理人员对认知障碍的评价更为负面,对家务的评价更为负面.
结论:
- 非正式的护理人员和普通人群在很大程度上表现出对与依赖相关的健康状况的一致偏好.
- 这种相似性支持在成本效益分析中使用一般人口数据,而不会产生重大偏差.
- 基于这些分析的资源分配决策可能对偏好数据的来源有很大的影响.
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