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首页> 外文期刊>Journal of Health Services Research & Policy >Measuring and valuing mental health for use in economic evaluation
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Measuring and valuing mental health for use in economic evaluation

机译：衡量和评估心理健康，以用于经济评估

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This article presents research undertaken as part of a wider programme of work concerned with measuring and health and wellbeing for economic evaluation. The focus is on developing quality adjusted life years (QALYs) in mental health, but the issues are common across all areas of health care. The article begins by reviewing the issues of what should be valued (health or broader notions of wellbeing), how mental health and wellbeing should be described, how mental health states should be valued and who should do the valuing. nnThe article presents four pieces of work. The first is a re-analysis of the ONS Psychiatric Morbidity 2000 Survey to provide evidence on the relevance of generic measures across different mental health disorders. It found that common mental health problems, such as anxiety and depression, had a significant impact on the generic preference-based measure of health in the SF-6D, but psychosis and personality disorders did not. The article then presents two studies using the ratings of people experiencing the states of health. Both studies found that people experiencing different health states gave mental health greater weight than physical health compared to members of the general public trying to imagine the health states. nnFinally, the article presents a study developing a condition-specific preference-based measure for calculating QALYs from an existing measure of mental health, the CORE-OM, using modern psychometric methods to construct health states amenable to valuation. It also considers a proposal to develop an entirely new QALY measure in mental health.
机译：本文介绍了作为针对经济评估的测量，健康和福祉的更广泛工作计划的一部分而进行的研究。重点是发展心理健康的质量调整生命年（QALYs），但是这些问题在医疗保健的各个领域都很普遍。本文首先回顾应重视的问题（健康或更广泛的幸福概念），应如何描述心理健康和福祉，应如何评价精神健康状况以及由谁来进行评价。 nn本文介绍了四项工作。首先是对ONS 2000年精神病发病率调查的重新分析，以提供证据证明不同精神卫生疾病中通用措施的相关性。研究发现，常见的心理健康问题（如焦虑和抑郁）对SF-6D中基于偏爱的通用健康衡量标准有重大影响，而精神病和人格障碍则没有。然后，本文提出了两项​​研究，它们使用的是经历健康状况的人的评分。两项研究都发现，与试图想象健康状况的普通民众相比，经历不同健康状况的人们比身体健康更重视精神健康。最后，本文提出了一项研究，该研究开发了一种基于特定条件的偏好的量度，用于使用现代心理测量方法构建适合评估的健康状态，从而从现有的心理健康量度CORE-OM中计算QALY。它还考虑了一项建议，以开发一种全新的心理健康QALY措施。

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