城市和农村受访者在健康状况偏好方面是否存在差异? 使用时间权衡和离散选择实验进行比较
Shitong Xie1,2, Jing Wu3,4, Feng Xie2,5
1School of Pharmaceutical Science and Technology, Tianjin University, Tianjin, China.
概括
中国的农村受访者报告的卫生实用价值低于城市居民,这表明在健康状况评估中,城市和农村的偏好差距很大. 这项研究突出了不同人群如何看待健康状况的差异.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 健康状态的偏好对于成本效益分析和卫生政策至关重要.
- 以前的研究表明,社会人口统计学因素可能会影响这些偏好.
- 了解健康偏好的城乡差异对于公平的资源分配至关重要.
研究的目的:
- 在中国的城市和农村人口之间,使用复合时间权衡 (cTTO) 和持续时间的离散选择实验 (DCETTO) 引起的健康状态偏好进行比较.
- 确定健康实用价值的潜在城乡差异.
主要方法:
- 一项涉及3320名来自中国城市和农村的普通人口受访者的横截面研究.
- 面对面的采访收集了对cTTO和DCETTO任务的回应,评估SF-6Dv2的健康状况.
- 随机效应回归分析了居住区对cTTO值的影响,控制了社会人口统计学. 平均绝对差异 (MAD) 与城乡公用事业价值集相比较.
主要成果:
- 在295个健康状态的城市和农村受访者之间观察到平均cTTO值的显著差异.
- 城市受访者在调整后分配了显著更高的cTTO值 (系数). = 0.021,p = 0.034). 在这个例子中,p = 0.034
- 城市和农村价值组之间的平均绝对差异 (MAD) 从0.0276到0.0686不等,取决于健康状况的值和提取方法.
结论:
- 与城市受访者相比,农村受访者通常将较低的实用值分配给健康状态.
- 在中国存在可观察到的城乡偏好差距,影响健康状况评估.
- 这些发现对不同人群中基于偏好的结果指标的开发和应用有影响.
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