激励措施对评估健康风险的影响
Maria José Gil-Moltó1, Arne Risa Hole1, Henrik Andersson2,3
1Universitat Jaume I, Castellón de la Plana, Spain.
Health economics
|July 12, 2025
概括
评估健康风险的离散选择实验 (DCE) 显示范围不敏感,无论激励措施如何. 激励措施并没有提高对风险降低幅度的敏感性. 统计生活 (VSL) 估计的价值.
科学领域:
- 环境经济学环境经济学
- 卫生经济学 卫生经济学
- 行为经济学是一种行为经济学.
背景情况:
- 离散选择实验 (DCE) 被广泛用于估计健康风险值.
- 现有的研究表明,在DCE中,对范围的潜在不敏感性,风险降低幅度不够影响估值.
- 这种现象被称为范围不敏感,引发了对声明偏好估值可靠性的担忧.
研究的目的:
- 调查激励措施对DCE在估计统计寿命 (VSL) 值时的范围敏感性的影响.
- 为了比较从激励和无激励的DCE中得出的VSL估计.
- 确定激励结构是否减轻健康风险估值中的范围不敏感性问题.
主要方法:
- 用于DCEs的双臂实验设计.
- 一个部门雇佣了一个标准的无激励的DCE.
- 第二个部门使用了带有激励的DCE与实际货币支付.
- 分析了两个手臂之间的VSL估计和范围灵敏度的差异.
主要成果:
- 与激励手臂相比,在没有激励的DCE手臂中,VSL估计较高.
- 在两个实验臂中都发现了对范围的外部不敏感的证据.
- 较弱的证据表明,激励手臂的内部范围敏感性更强.
结论:
- 在声明偏好估值中,支付的假设性质并不是范围不敏感的唯一原因.
- 对DCE的激励可能会影响VSL估计,但并不能完全解决范围不敏感的问题.
- 需要进一步的研究来理解和解决健康风险评估研究中的范围不敏感性.
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