评估死亡率风险降低和健康改善:一个预期寿命框架,协调政策传统
Jytte Seested Nielsen1,2, Susan Chilton1, Rebecca McDonald3
1Newcastle University Business School (Economics), Frederick Douglass Centre, Newcastle Helix, 2 Science Square, Newcastle upon Tyne, UK.
概括
本研究引入了一种统一的方法来评估公共政策带来的长寿效益. 它整合了健康偏好,以一致估计统计寿命 (VSL) 的价值,统计寿命年 (VSLY) 的价值,以及对质量调整寿命年 (WTP-QALY) 的支付意愿.
科学领域:
- 卫生经济学 卫生经济学
- 公共政策分析 公共政策分析
- 生物统计学 生物统计学
背景情况:
- 公共政策显著影响个人死亡风险.
- 长寿收益的传统货币化使用不同的指标:VSL,VSLY和WTP-QALY.
- 现有的评估长寿增长的方法缺乏统一的框架.
研究的目的:
- 开发一种统一的方法,将公共政策带来的长寿收益货币化.
- 整合健康和长寿偏好,以进行一致的估值.
- 为了使VSL,VSLY和WTP-QALY在单一框架内进行估计.
主要方法:
- 采用预期寿命增长作为统一的指标.
- 整合基于偏好的关于健康和寿命的信息.
- 制定一个框架,以概念性地链接个人级别的估值措施.
主要成果:
- 拟议的方法产生了三个概念上相关的措施:VSL,VSLY和WTP-QALY.
- 健康偏好的明确整合允许与VSL和VSLY一起进行WTP-QALY估计.
- 该框架比现有的直接和建模方法具有优势.
结论:
- 拟议的框架有助于在不同政策领域实现一致的决策.
- 它允许事先进行监管评估,同时尊重各种经验估计实践.
- 这种统一的方法提高了在公共政策中评估长寿收益的连贯性.
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