升级:将摄入量视为内源的可能会增加查计划的价值
Jose A Robles-Zurita1,2, Neil Hawkins2, Janet Bouttell2,3
1Department of Applied Economics (Statistics and Econometrics), University of Málaga, Málaga, Spain.
概括
在查计划中考虑个人健康偏好可以显著增加其价值. 最佳的查测试运行取决于人口健康公用事业及其异质性,而不仅仅是最大限度地吸收.
科学领域:
- 卫生经济学 卫生经济学
- 医学查 医学查
- 决策分析 决策分析
背景情况:
- 卫生经济学家通常以统一的人口偏好为前提,优化查计划.
- 个人对健康偏好的异质性可能会影响查参与和结果.
- 以前的模型可能没有完全捕捉到不同患者选择对查计划有效性的影响.
研究的目的:
- 为了证明个人异质性在健康经济学中对优化查计划的重要性.
- 将标准诊断经济学与考虑异质偏好的内源性吸收分析进行比较.
- 通过纳入个体异质性来量化健康效益的潜在增加.
主要方法:
- 开发了一个理论框架,比较标准和内源性吸收分析.
- 使用了与英国肠癌查数据校准的应用示例.
- 进行了场景分析,以评估放宽假设对结果的影响.
主要成果:
- 内生吸收分析表明,与标准方法相比,真假阳性率略高.
- 在内源性吸收下,最佳查策略导致参与率降低.
- 应用的例子显示,内源溶液的质量调整寿命年数增加了21.1%.
结论:
- 个人异质性和吸收决策对于确定最佳查测试灵敏度和特异性至关重要.
- 查计划的价值通过考虑目标人群中的异质偏好来提高.
- 最佳查测试运行受到人口健康公用事业及其多样性的影响,而不仅仅是吸收最大化.
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