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首页> 外文期刊>The European journal of health economics: HEPAC : health economics in prevention and care >Incorporating equity in economic evaluations: a multi-attribute equity state approach
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Incorporating equity in economic evaluations: a multi-attribute equity state approach

机译：在经济评估中纳入股权：多属性股权国家方法

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摘要

In publicly funded health care systems, decision makers must continually balance often conflicting priorities of efficiency and equity. Health economists have developed a set of highly sophisticated analytical methods for assessing efficiency, but less attention has been paid to formally incorporating equity considerations into analyses. As a result, where equity is considered is often informal, ad hoc and/or simplistic. This paper is a proposal for a mechanism for formally incorporating equity within the decision process. It begins with an overview of the current literature on equity weighting. It then considers the case of a single equity domain and illustrates how this is currently applied in practice by the UK’s National Institute for Health and Care Excellence. It then proposes a more comprehensive method for considering the multi-attribute equity state, where a population exhibits more than one trait considered worthy of differential weighting. Finally, the paper proposes a mechanism by which this could be applied in practice, and concludes with a discussion of the challenges for applying multi-attribute equity weighting.
机译：在公共资助的医疗保健系统中，决策者必须持续平衡效率和公平的优先事项较差。卫生经济学家已经开发了一系列高度复杂的分析方法，用于评估效率，但较不注意的注意力将公平考虑纳入分析。结果，股权被认为是非正式的，临时和/或简单的。本文是一项关于在决策过程中正式纳入权益的机制的建议。它首先概述了当前股权加权的文献。然后，考虑到单一股权域的情况，并说明英国国家健康和卓越研究所的实践中目前的应用。然后，提出了一种更全面的方法，以考虑多属性股权状态，其中人口呈现出多于一个特征，认为值得差分加权。最后，本文提出了一种机制，可以在实践中应用这一点，并结束于讨论应用多属性股权加权的挑战。

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