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丹麦人口的稳定性 随着时间的推移健康偏好
Cathrine Elgaard Jensen1, Sabrina Storgaard Sørensen1, Claire Gudex2
1Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
概括
丹麦人口的健康偏好在2019年至2024年期间保持稳定,尽管发生了重大全球事件. 这种稳定性支持在健康经济学研究中继续使用EQ-5D-5L价值组.
科学领域:
- 卫生经济学 卫生经济学
- 患者报告的结果
- 心理测量 心理测量 心理测量
背景情况:
- 评估人口健康偏好的稳定性对于健康经济评估的可靠性至关重要.
- 2019年至2024年期间包括重大全球事件,包括COVID-19大流行和乌克兰战争,可能影响社会价值观.
研究的目的:
- 评估丹麦人口在五年内对健康偏好的稳定性.
- 将2019年的健康状况评估与2024年新收集的数据进行比较.
- 为了评估在丹麦设定的EQ-5D-5L值的保质期.
主要方法:
- 在2024年采用标准化协议 (EQ-VT) 和在线调查收集的复合时间权衡 (cTTO) 和离散选择实验 (DCE) 数据.
- 将2024个样本与2019年丹麦EQ-5D-5L估值研究进行了匹配.
- 通过比较平均cTTO值,估计DCE数据的混合逻辑模型,并使用Bland-Altman图分析维度顺序和值差异.
主要成果:
- 在2019年至2024年期间,对于10个健康状况的平均cTTO值没有发现显著差异.
- 在DCE的维度顺序保持一致,但相对重要性转移:移动性和自我照顾增加,而疼痛/不适和焦虑/抑郁症减少.
- 与2019年相比,布兰德-阿尔特曼图表显示2024年严重健康状况的估值较高,中度健康状况的估值较低.
结论:
- 丹麦人口的健康偏好在为期五年的研究期间显示稳定.
- 这些发现提供了证据,支持在丹麦卫生经济评估中使用的EQ-5D-5L值的可靠性和保质期.
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