跨群体对健康的评价:以人口为基础的跨部门支付意愿调查
Ying Yao1, Md Mizanur Rahman2, Pempa3
1Faculty of Economics, Keio University, Tokyo, Japan.
BMJ global health
|August 21, 2025
概括
不丹家庭表示愿意为健康收益付出代价, 估计因收入和教育而异. 这些发现为国家医疗资源分配的成本效益值提供了信息.
科学领域:
- 健康经济学
- 公共卫生政策
- 愿意为研究付费
背景情况:
- 在低收入和中等收入国家,环境特定的成本效益门对于医疗资源分配至关重要.
- 社会支付意愿 (WTP) 是这些门的一个关键决定因素.
- 不丹的医疗保健系统需要了解本地WTP才能有效地分配资源.
研究的目的:
- 调查社会愿意支付 (WTP) 的健康收益, 特别是每质量调整的生命年 (QALY), 在不丹.
- 为不丹制定具体的成本效益门提供信息.
- 分析影响不丹人口健康的WTP因素.
主要方法:
- 在2023年国家健康调查的同时,在不丹进行了一项全国性调查 (n=1869个家庭).
- 使用了随机估值方法,受访者估值了假设的健康改善.
- 用通用线性回归和多层次分析来估计WTP并检查变化.
主要成果:
- 据WTP估计,1个QALY为104,381个Bhutanese ngultrum (BTN) 和5个QALY为235,237个BTN.
- 根据各个地区的个人收入和教育水平, WTP 的差异很大.
- 在不同地区之间观察到WTP的最小变化.
结论:
- 地区间的最低WTP变化支持不丹的国家级成本效益门 (CET).
- 基于WTP的CET可能会由收入较高和受教育程度较高的群体上升.
- 这种潜在偏见可能会导致昂贵的技术被采用,
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