有一个普遍的偏好更糟糕的人吗? 一个离散选择实验,使用单独校准的健康状况评估
Marius L Torjusen1, Kim Rand2, David Gt Whitehurst3
1The Health Services Research Unit (HØKH), Akershus University Hospital, Lørenskog, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
概括
这项研究探讨了使用个人健康状况值的公共卫生保健优先设置偏好. 结果表明,人们倾向于优先考虑更富裕的人,而不是更贫困的人,挑战共同医疗保健政策假设.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 决策科学 决策科学 决策科学
背景情况:
- 医疗保健优先级设置往往涉及复杂的伦理考虑.
- 公共偏好对于政策合法性至关重要,但难以准确衡量.
- 现有研究可能缺乏个体水平的健康状况评估,可能会导致结果偏见.
研究的目的:
- 开发和展示一种评估公共卫生保健优先设置偏好的方法.
- 检查挪威人口对优先考虑"最差"与健康最大化的偏好.
- 调查个人健康状况值对偏好诱导的影响.
主要方法:
- 面对面采访了468名挪威成年人.
- 使用时间权衡评估EQ-5D-5L健康状况.
- 离散选择任务比较效用最大化和利益与最差的人.
主要成果:
- 受访者的选择受到健康改善的大小的影响,而不仅仅是治疗前的健康状况.
- 人口因素 (性别,宗教,年龄) 影响了选择行为.
- 平均而言,偏好倾向于优先考虑更富裕的人.
结论:
- 使用个体健康状况值开发的两阶段方法对于偏好研究是可行的.
- 没有证据支持使用个人估值时优先考虑较差的公众偏好.
- 研究结果表明,需要重新考虑医疗保健优先设定框架中的假设.
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