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评估与健康相关的生活质量:为摩洛哥设置了一个EQ-5D-5L值
Asmaa Azizi1, Amal Boutib1, Doha Achak1
1Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, 26000, Settat, Morocco.
一个新的摩洛哥EQ-5D-5L价值集被开发用于卫生技术评估. 该工具可以进行质量调整寿命年 (QALY) 计算,以支持摩洛哥的医疗保健决策.
科学领域:
- 卫生经济学 卫生经济学
- 患者报告的结果
- 价值组发展 价值组发展
背景情况:
- 摩洛哥对医疗技术评估 (HTA) 的兴趣日益增长.
- 需要为经济评估设置一个国家EQ-5D-5L值.
- 没有针对摩洛哥的特定值来计算质量调整寿命年 (QALYs).
研究的目的:
- 开发一个摩洛哥的EQ-5D-5L价值集.
- 使用来自摩洛哥成年人口代表性样本的数据.
- 通过经济评估来支持医疗保健决策.
主要方法:
- 对成年人代表性样本进行分层配额抽样.
- 国际EuroQol估值协议 (EQ-VT v2.6.1) 用于数据收集.
- 使用复合时间权衡 (cTTO) 和离散选择实验 (DCE) 诱导技术.
- 用于数据分析的混合异种类型的托比特和条件逻辑模型.
主要成果:
- 976名受访者被纳入最终分析.
- 鉴定出作为首选模型的混合异种类型模型.
- 预测的效用值范围从-1.492 (最差的健康状况) 到1 (完整的健康状况).
- 疼痛/不适,焦虑/抑郁,移动性,自我照顾和通常的活动被确定为影响实用性的关键健康领域.
结论:
- 摩洛哥是第三个拥有EQ-5D-5L值组的MENA国家.
- 开发的价值集支持在摩洛哥医疗保健决策中使用EQ-5D-5L数据.
- 促进对摩洛哥医疗保健干预措施的强有力的经济评估.
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