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老龄化经济学:瑞典人对年轻人与老年人之间医疗保健资源分配的态度

The economics of ageing: on the attitude of Swedish people to the distribution of health care resources between the young and the old.

作者信息

Johannesson M, Johansson P O

机构信息

Centre for Health Economics, Stockholm School of Economics, Sweden.

出版信息

Health Policy. 1996 Sep;37(3):153-61. doi: 10.1016/s0168-8510(96)90022-6.

Abstract

The Swedish Priorities Investigation [1] proposes that no account should be taken of a patient's age when allocating health care resources. Measures to save an old person's life are to be given the same priority as measures to save a young person's life. In the present study it is shown that the attitude of the Swedish population to this age-related problem is dramatically different from that laid down in the priorities investigation. On average, people are willing to sacrifice thirty-five 70-year-olds to save one 30-year-old. It is also shown that a measure which increases life-expectancy by 1 year, conditional on having survived until the age of 75 years, is given a low weighting. The (maximum) insurance premium the average Swede is willing to pay for such a programme is about 700 pounds.

摘要

瑞典优先事项调查[1]提议,在分配医疗保健资源时不应考虑患者的年龄。拯救老年人生命的措施应与拯救年轻人生命的措施具有同等优先级。在本研究中表明,瑞典民众对这个与年龄相关问题的态度与优先事项调查中规定的态度截然不同。平均而言,人们愿意牺牲35名70岁的老人来拯救一名30岁的年轻人。研究还表明,一项在活到75岁的条件下将预期寿命延长1年的措施,其权重较低。瑞典民众愿意为这样一个项目支付的(最高)保险费约为700英镑。

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