在美国的健康不平等厌恶
Julia F Slejko1, Salome Ricci1, Susan dosReis1
1Patient-Driven Values in Healthcare Evaluation (PAVE) Center, Department of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD, USA.
美国人表现出强烈的愿意减少健康不平等,88%的人赞成为了更大的公平而进行权衡. 这项研究量化了美国的健康不平等厌恶,为医疗保健政策和分配成本效益分析提供了信息.
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
- 健康的社会决定因素
背景情况:
- 健康不平等厌恶参数对于分布式成本效益分析 (CEA) 是至关重要的.
- 这些参数平衡了社会对整体健康收益 (效率) 的偏好,并减少了受优势和受弱势群体之间的差异 (公平).
- 对于美国人口来说,引出这些参数对于准确的以公平为重点的医疗保健政策至关重要.
研究的目的:
- 为了引起一个健康不平等厌恶参数,专门针对美国人口.
- 量化社会偏好在健康效率和公平性之间的权衡方面.
- 为美国医疗保健决策中整合公平考虑提供信息.
主要方法:
- 适应了英国的福利权衡 (BTO) 工具,用于在线调查管理.
- 从美国成年大众代表性样本收集数据 (2023年6月至12月).
- 分析了响应模式,以对不平等厌恶进行分类,并根据人口统计和社会脆弱性指标推导股权权重.
主要成果:
- 分析了来自1864名参与者的1290个完整答案,其中一个样本代表了美国人口普查数据.
- 阿特金森参数的中位数为12.12,隐含的股权权重为6.7.
- 显著多数 (88%) 愿意放弃全身健康以减少健康不平等;较低收入和少数群体的厌恶程度略高.
结论:
- 衍生不平等厌恶统计数据支持在美国医疗保健政策和医疗技术评估中例行整合公平.
- 调查结果提倡通过纳入衡量社会对公平的偏好来推进分配成本效益分析.
- 该研究提供了在政策决策中优先考虑健康公平的经验证据.
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