优先考虑的是自己还是别人? 在基于偏好的健康价值评估中纳入股权考虑
Mesfin G Genie1, Surachat Ngorsuraches2
1Newcastle Business School, College of Human and Social Futures, The University of Newcastle, Newcastle, NSW, Australia; Department of Health Outcomes Research and Policy, Auburn University, Auburn, AL, USA; Health Economics Research Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland, UK.
概括
患者优先考虑治疗2型糖尿病的疗效和安全性,但当考虑健康公平时,他们的风险耐受性会增加. 保险计划的偏好因成本敏感性和风险厌恶性而有所不同.
科学领域:
- 卫生经济学 卫生经济学
- 患者报告的结果
- 行为经济学是一种行为经济学.
背景情况:
- 2型糖尿病的治疗正在不断发展,需要了解患者对保险覆盖的偏好.
- 患者对医疗保险计划的选择受到患者对治疗效益,风险和成本的看法的影响.
研究的目的:
- 调查患者对医疗保险计划的偏好,这些计划涵盖了新型2型糖尿病治疗.
- 评估考虑健康公平如何影响这些偏好.
主要方法:
- 一个离散选择实验,涉及701名2型糖尿病患者.
- 测试了两个条件:只有个人结果与对自己和他人相同的结果.
- 隐性类逻辑模型估计了治疗属性的支付意愿 (WTP).
主要成果:
- 在每种情况中,出现了两种患者类别:"不愿冒风险"/"关注公平"和"对成本敏感".
- 当仅考虑个人结果时,患者在有效性和风险厌恶方面表现出高WTP.
- 当考虑股权时,风险容忍度增加,特别是在"股权相关"类别.
结论:
- 患者偏好强烈支持治疗疗效和风险回避,具有显著的成本敏感性.
- 将健康公平纳入决策过程改变了风险容忍度,突出了医疗保健选择中公平的重要性.
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