根据人口统计、健康状况、收入和福祉,对一年的完全能力和健康进行货币估值。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
M. Thema, Z. Beretzky, V. Brodszky
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引用次数: 0

摘要

背景医疗保健系统的预算限制导致成本效益阈值(CET)的流行,以实现资源的有效分配。与 QALY 相比,能力法因其在阈值方面潜在的更丰富的评估能力而备受赞誉。本研究估算了完全能力年(YFC)的货币价值,并将其与匈牙利人口的 QALY 货币价值进行了比较。数据收集自一项针对匈牙利成年人口的大型、横断面、代表性在线调查。然后,运用福祉评估方法,将健康、能力和收入与福祉进行回归,从而估算出一个 QALY 和 YFC 的 "影子价格",并对性别、年龄、就业、教育、婚姻和社会支持进行控制。结果健康(VAS)和能力(ICECAP-A)对主观幸福感有显著的正向影响。一个 QALY 和一个 YFC 的货币价值分别为 39 459 欧元和 58 148 欧元。结论这些工具为确定某些疾病、残疾和疼痛程度的 "补偿收入 "提供了一种系统方法。这些工具为确定某些疾病、残疾和疼痛程度的 "补偿收入 "提供了系统的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Monetary valuation of one year in full capability and health based on demographics, health status, income and well-being.
BACKGROUND Budget constraints in health care systems have led to the popularity of Cost Effectiveness Thresholds (CET) to achieve efficient allocation of resources. The capability approach has been hailed for its potentially richer evaluative capabilities compared to the QALY in terms of thresholds. Extensive research, however, is still limited. RESEARCH DESIGN AND METHODS This study estimated the monetary value of a year in full capability (YFC) and compared it to monetary value of a QALY for the Hungarian population. Data was collected from a large, cross sectional, representative online survey on the adult Hungarian population. Applying the wellbeing valuation method, health, capability, and income were then regressed against wellbeing to estimate 'shadow prices' for one QALY and YFC controlling for gender, age, employment, education, marital and social support. To examine 'core' regression coefficients, a robustness check was conducted. RESULTS Health (VAS) and capability (ICECAP-A) had a positive and significant effect on Subjective Well-Being. The monetary values of one QALY and one YFC were 39 459 EUR and 58 148 EUR respectively. CONCLUSIONS These tools provide a systematic approach to determining 'compensating income' for certain illnesses, disabilities and levels of pain. The capability approach shown to be broader than the QALY.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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