在健康经济评估中部署经验实用性:一个定量研究
Damien S E Broekharst1, Sjaak Bloem1, Robert J Blomme2
1Center for Marketing & Supply Chain Management, Nyenrode Business University, 3621 BG Breukelen, The Netherlands.
经验实用性与预期实用性相比,显著提高了健康行为预测. 结合两种实用类型,在健康经济评估中提供了最强的预测能力.
科学领域:
- 卫生经济学 卫生经济学
- 行为经济学是一种行为经济学.
- 决策科学 决策科学 决策科学
背景情况:
- 预期效用理论在解释健康行为差异方面存在局限性.
- 合理性假设和预期效益的固定偏好受到质疑.
- 经验丰富的实用性被提议用于改善健康行为预测.
研究的目的:
- 实证测试体验的实用性是否增强了健康行为预测.
- 为了比较预期效用,经验效用和两者的组合的预测能力.
主要方法:
- 在线调查分发给2550名荷兰公民.
- 收集关于人口统计,预期效用,经验效用和健康行为的数据.
- 统计分析包括描述性,可靠性,有效性和模型统计数据.
主要成果:
- 经验实用性显示出更强的直接效应,并解释了健康行为的更多变异,而不是预期的实用性.
- 预期和经验效益的组合具有显著的直接和间接影响,解释了比单独的更大的差异.
- 既有经验的实用性,又有综合模型显著改善了健康行为预测.
结论:
- 经验中的实用性,单独或与预期的实用性相结合,显著影响健康行为.
- 纳入经验丰富的实用性为健康经济评估提供了更强大的基础.
- 这些发现表明,在经济评估中,健康行为是如何建模的,这意味着一个范式的转变.
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