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首页> 外文期刊>Medical decision making: An international journal of the Society for Medical Decision Making >Income effects of reduced health and health effects of reduced income: implications for health-state valuation.
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Income effects of reduced health and health effects of reduced income: implications for health-state valuation.

机译：健康减少的收入影响和收入减少的健康影响：对健康国家估值的影响。

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摘要

There is increasing use of multiattribute health-state utility systems, such as the Health Utilities Index and the EuroQol (now EQ-5D), to estimate quality-adjusted life years (QALYs) for cost-utility analysis. Whereas the preferences elicited from individuals using willingness-to-pay techniques for cost-benefit analysis would be expected to reflect those individuals' income levels, it is often suggested that cost-utility analysis can avoid this income effect by not valuing health in monetary terms. Contrary to this view, the authors argue that income can influence the measurement of utilities used to estimate QALYs. In the context of multiattribute utility instruments, two income effects can take place: 1) when individuals are asked to value health states to generate the set of utilities to apply in subsequent evaluation studies; 2) when those multiattribute systems are used to categorize individuals' (usually patients') health status in the field in applied evaluation studies. The authors review the most popular utility systems regarding how these income effects are handled and assess the implications for the measurement of utilities using these systems.
机译：越来越多地使用诸如健康实用程序指数和EuroQol（现为EQ-5D）之类的多属性健康状态实用程序系统来估计质量调整生命年（QALYs），以进行成本效用分析。尽管人们期望使用支付意愿技术进行成本效益分析而从个人中获得的偏好能够反映出这些人的收入水平，但通常有人建议，成本效用分析可以通过不以金钱来评估健康来避免这种收入影响。与这种观点相反，作者认为收入会影响用来估算QALY的公用事业的计量。在多属性效用工具的背景下，会产生两种收入影响：1）当要求个人对健康状况进行评估以产生一套实用程序以用于后续评估研究时; 2）在应用评估研究中，当使用这些多属性系统对现场的个人（通常是患者）的健康状况进行分类时。作者回顾了有关如何处理这些收入影响的最流行的公用事业系统，并评估了使用这些系统对公用事业计量的影响。

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