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在非正式照顾者中基于通用偏好措施的心理测量性能:对验证研究的系统审查
Jan Faller1, Valeriia Sokolova2, Yared Belete Belay2
1Health Economics Group, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia. jan.faller@monash.edu.
PharmacoEconomics
|June 28, 2025
概括
基于偏好的通用措施 (GPBMs) 对非正式护理人员的结果有希望,但对其心理指标表现的证据有限. 需要进一步的研究才能充分理解它们在健康经济评估中的有用性.
科学领域:
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
- 卫生技术评估 卫生技术评估
背景情况:
- 在健康经济评估中,越来越多地推非正式护理人员的结果.
- 基于偏好的通用措施 (GPBMs) 受到青,但它们在测量非正式照顾者与健康有关的生活质量方面的表现并未得到充分综合.
- 本综述综合了现有的关于非正式照顾者GPBM的心理测量证据.
研究的目的:
- 系统地审查和综合基于一般偏好措施 (GPBMs) 的心理测量证据,当应用于非正式照顾者时.
- 评估各种GPBM在捕捉非正式照顾者的健康相关生活质量的表现.
主要方法:
- 在主要数据库 (CINAHL,PsycInfo,Embase,MEDLINE) 进行了系统的文献搜索,截至2024年10月.
- 遵循PRISMA指南,包括引用搜索和使用COSMIN检查清单评估研究质量.
- 用叙事综合来总结包含的21项研究的发现.
主要成果:
- 最常被评估的是EQ-5D 3级 (EQ-5D-3L) 和EQ-5D 5级 (EQ-5D-5L),同时也是SF-6Dv1,EQ-HWB-9,HUI,HINT-8和QWB-SA.
- 有证据表明,EQ-5D-3L,EQ-5D-5L和EQ-HWB-9的测试-再测试可靠性很好,以及几个措施的已知组有效性,包括EQ-5D-3L,EQ-5D-5L,EQ-HWB-9,HUI3和SF-6Dv1.
- 对于EQ-5D-3L和EQ-5D-5L,发现了上限效应;对于EuroQol仪器,响应能力数据是混合的,对于SF-6Dv1.1,数据是缺乏的.
结论:
- 目前的证据支持非正式护理人员使用GPBM,尽管心理测量指标数据仍然有限.
- 建议进行进一步的研究,包括对比比较和跨不同人口和国家的内容有效性研究.
- 鼓励进行纵向研究设计,以提高对资源分配决策中GPBM性能的理解.
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