使用离散选择实验 (DCE) 来比较健康和福祉结果的社会和个人偏好
Nyantara Wickramasekera1, An Thu Ta1, Becky Field1
1Sheffield Centre for Health and Related Research, University of Sheffield, Sheffield, UK.
概括
对于健康结果的社会和个人偏好一致,但对于就业和住房质量有所不同. 使用个人偏好可能会导致公共卫生资源分配不足,因为它不反映社会优先事项.
科学领域:
- 卫生经济学 卫生经济学
- 决策科学 决策科学 决策科学
- 公共卫生政策 公共卫生政策
背景情况:
- 卫生方面的经济评估往往使用非福利主义的框架,最适合社会而不是个人偏好.
- 大多数健康状况评估研究都引起了个人偏好,造成了方法上的不一致.
- 缺乏关于社会和个人对健康结果偏好的关系的经验数据.
研究的目的:
- 调查从社会与个人角度引起偏好是否会影响对健康和福祉结果的评估.
- 通过使用相同的场景来比较各种健康和福祉属性的社会和个人偏好.
主要方法:
- 使用离散选择实验,从英国大众中提取偏好.
- 进行了两个不同的调查:一个是个人偏好 (n=1,020) 和一个是社会偏好 (n=3,009).
- 混合逻辑模型被估计用于计算属性比较的支付意愿 (WTP) 值.
主要成果:
- 在评估身体健康,心理健康,孤独或社区安全方面,在社会和个人视角之间没有发现显著差异.
- 在就业和住房质量属性的支付意愿值中出现了显著的差异.
- 个人偏好倾向于退休而不是非正式的照顾,而社会偏好则相反.
结论:
- 从哪个角度挑出偏好,对某些结果的估值产生重大影响,特别是就业和住房质量.
- 仅仅依赖个人偏好来评估就业和住房,可能会导致公共卫生资源的分配效率低下.
- 考虑诱导视角对于将公共卫生干预与社会优先事项保持一致至关重要.
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