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首页> 外文期刊>Journal of health economics >Priority setting in health care and higher order degree change in risk
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Priority setting in health care and higher order degree change in risk

机译：卫生保健中的优先级设置和更高级别的风险改变

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This paper examines how priority setting in health care expenditures is influenced by the presence of uncertainty about the severity of the illness and the effectiveness of medical treatment. We provide necessary and sufficient conditions on social preferences under which a social planner will allocate more health care resources to populations at higher risk. Changes in risk are defined by the concept of stochastic dominance up to order n. The shape of the social utility function and an equity weighting function are used to model the inequality aversion of the social planner. We show that for higher order risk changes, the usual conditions on preferences such as prudence or relative risk aversion are not necessarily required to prioritise health care when there are different levels of uncertainty associated with otherwise similar patient groups.
机译：本文研究了疾病严重程度和医疗效果的不确定性如何影响医疗保健支出的优先顺序设置。我们根据社会偏好提供了必要和充分的条件，在这种条件下，社会计划者将为高风险人群分配更多的医疗资源。风险变化由直至n阶的随机支配性概念定义。社会效用函数的形状和公平权重函数用于对社会计划者的不平等厌恶进行建模。我们表明，对于更高阶的风险变化，当在其他方面相似的患者组存在不同程度的不确定性时，不一定需要通常的条件（如审慎或相对风险规避）来优先考虑医疗保健。

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