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EQ-5D价值组是否有保质期:来自亚洲的社会偏好演变的证据
Meixia Liao1, Zhihao Yang2, Nan Luo1
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
概括
公共卫生偏好正在演变,正如中国和新加坡更新的EQ-5D-5L值集所示. 这些变化凸显出需要定期更新与健康相关的生活质量指标.
科学领域:
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
- 社会的偏好 社会偏好.
背景情况:
- 综合时间权衡 (cTTO) 值对于健康经济学评估至关重要.
- EQ-5D-5L是衡量健康相关生活质量的广泛使用的仪器.
- 价值集需要定期更新,以反映社会偏好变化.
研究的目的:
- 为了比较中国和新加坡最近和早期EQ-5D-5L价值集研究中的复合时间权衡 (cTTO) 值.
- 识别健康状况评估的变化及其驱动因素.
主要方法:
- 分析了早期 (2012年中国,2014-2015年新加坡) 和最近 (2023年中国,2023-2024年新加坡) EQ-5D-5L研究中的cTTO数据.
- 在每个国家内比较价值分布,平均值和衍生价值集.
- 通过健康维度对不实用性的检查.
主要成果:
- 最近在中国和新加坡的研究显示,最高cTTO值 (1,000) 的比例更高.
- 模型预测的值发生了变化,在中国,温和状态增加,严重状态减少;在新加坡,温和/中等状态增加.
- 在最近的研究中,疼痛/不适成为主要的不便,与早期的研究中的移动性/焦虑形成鲜明对比.
结论:
- 在中国和新加坡最近和早期的EQ-5D-5L cTTO值之间存在显著差异.
- 这些变化表明公共卫生偏好正在演变.
- 定期更新偏好加权的与健康有关的生活质量指标是必不可少的.
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