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首页> 外文期刊>Journal of health economics >The benefits of avoiding cancer (or dying from cancer): Evidence from a four- country study
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The benefits of avoiding cancer (or dying from cancer): Evidence from a four- country study

机译：避免癌症（或死于癌症）的好处：来自四国研究的证据

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We use stated-preference methods to estimate the cancer Value per Statistical Life (VSL) and Value per Statistical Case (VSCC) from a representative sample of 45-60-year olds in four countries in Europe. We ask respondents to report information about their willingness to pay for health risk reductions that are different from those used in earlier valuation work because they are comprised of two probabilities that of getting cancer, and that of dying from it (conditional on getting it in the first place). The product of these two probabilities is the unconditional cancer mortality risk. Our hypothetical risk reductions also include two severity-related attributes quality-of-life impacts and pain. The results show that respondents did appear to have an intuitive grasp of compound probabilities, and took into account each component of the unconditional cancer mortality risk when answering the valuation questions. We estimate the cancer VSL to be between approximately 2 and 5.950 million, depending on whether the (unconditional) mortality risk was reduced by lowering the chance of getting cancer, increasing the chance of surviving cancer, or both. The VSCC is estimated to be up to 0.578 million euro, and its magnitude depends on the initial (conditional) cancer mortality and on the improvement in survival. The survey responses show that our measures of cancer severity impacts on daily activities and pain have little or no effect on the WTP to reduce the adverse health risks. (C) 2017 Elsevier B.V. All rights reserved.
机译：我们使用陈述优选方法，从欧洲四个国家的45-60岁年龄人口的代表性样本中估算癌症的平均统计生命值（VSL）和每个统计病例值（VSCC）。我们要求受访者报告其为降低健康风险而愿意支付的信息，这些信息与早期评估工作中所使用的信息有所不同，因为它们由患癌和死于癌症的两个概率组成（前提是要在第一名）。这两个概率的乘积是无条件的癌症死亡风险。我们的假设风险降低还包括两个与严重性相关的属性，它们对生活质量的影响和痛苦。结果显示，受访者确实对复合概率具有直观的了解，并在回答评估问题时考虑了无条件癌症死亡风险的每个组成部分。我们估计癌症的VSL在大约2到59.5百万之间，这取决于是否通过降低患癌症的机会，增加癌症幸存的机会或同时降低这两者而降低了（无条件的）死亡风险。 VSCC估计高达57.8万欧元，其大小取决于初始（有条件的）癌症死亡率和生存率的提高。调查结果表明，我们对癌症严重程度的影响对日常活动和疼痛的影响，对降低患者的不良健康风险对WTP几乎没有影响。 （C）2017 Elsevier B.V.保留所有权利。

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