使用双边分类选择模型评估成本效益值
Taito Kitano1, Shinya Tsuzuki1,2,3
1AMR Clinical Reference Center, National Center for Global Health and Medicine, Japan Institute for Health Security, Tokyo, Japan.
Public health in practice (Oxford, England)
|January 8, 2026
概括
日本成年人显示一致的愿意支付 (WTP) 质量调整后的生活年 (QALY) 后COVID-19. 调查方法显著影响WTP值,需要进一步研究与流行病相关的转变.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 调查方法 调查方法
背景情况:
- 愿意支付 (WTP) 质量调整生命年 (QALY) 是健康经济学的关键指标.
- 众所周知,WTP值对调查方法和时间变化很敏感.
- 在COVID-19后的时代评估WTP对于理解不断变化的社会健康偏好至关重要.
研究的目的:
- 评估日本人口为额外的质量调整寿命年 (QALY) 支付意愿 (WTP).
- 在COVID-19流行后的背景下,使用双边分类选择方法来评估WTP.
- 确定调查设计对WTP估计的潜在影响.
主要方法:
- 2024年对2500名日本成年人进行了一项横截面在线调查.
- 使用双边分类选择方法来获得WTP值.
- 提出了四种不同的健康场景,从社会和个人角度考虑非致命和致命的疾病.
主要成果:
- 平均WTP每QALY收益在不同情景中各不相同,从330万日元 (JPY) 到995万日元 (JPY).
- 对于中度/严重的非致命疾病 (3.30-7.34万日元) 和致命疾病场景 (3.38-9.95万日元) 报告了特定的WTP值.
- 与疫情前估计相比,没有发现WTP的显著变化.
结论:
- 日本每QALY的WTP在COVID-19后保持相对稳定,没有观察到显著的变化.
- 该研究强调了问卷设计对WTP响应模式的重大影响.
- 建议进行进一步的研究,以全面了解大流行对WTP值的长期影响.
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