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运用离散选择实验评估非正规护理任务:探索偏好异质性。

Using discrete choice experiments to value informal care tasks: exploring preference heterogeneity.

机构信息

Department of Economics, McMaster University, Hamilton, Ont., Canada.

出版信息

Health Econ. 2011 Aug;20(8):930-44. doi: 10.1002/hec.1656. Epub 2010 Aug 26.

Abstract

While informal care is a significant part of non-market economic activity, its value is rarely acknowledged, perhaps reflecting a lack of market data. Traditional methods to value such care include opportunity and replacement cost. This study is the first to employ the discrete choice experiment methodology to value informal care tasks. A monetary value is estimated for three tasks (personal care, supervising and household tasks). The relationship between time spent on formal and informal care is also modelled and preference heterogeneity investigated using the Latent Class Model. Complementarity between supervising tasks and formal care is observed. Monetary compensation is important, with willingness to accept per hour values ranging from £0.38 to £0.83 for personal care, £0.75 for supervising and £0.31 to £0.6 for household tasks. Heterogeneity in preferences is observed, with monetary compensation being important for younger people, but insignificant for older individuals. Such heterogeneity is important at the policy level. Values are lower than those generated by opportunity cost and replacement cost methods, perhaps because of the limited ability of revealed preference methods to capture broader aspect of utility. Differences with contingent valuation methods are also observed, suggesting future research should investigate the external validity of the different methods.

摘要

虽然非正式护理是非市场经济活动的重要组成部分,但它的价值很少得到承认,这也许反映了缺乏市场数据。评估此类护理的传统方法包括机会成本和重置成本。本研究首次采用离散选择实验方法来评估非正式护理任务。对三项任务(个人护理、监督和家务劳动)进行了货币价值评估。还对花在正式和非正式护理上的时间之间的关系进行了建模,并使用潜在类别模型调查了偏好异质性。观察到监督任务与正规护理之间存在互补性。货币补偿很重要,愿意接受的每小时个人护理补偿价值在 0.38 英镑至 0.83 英镑之间,监督补偿价值为 0.75 英镑,家务劳动补偿价值在 0.31 英镑至 0.6 英镑之间。观察到偏好存在异质性,年轻人对货币补偿更重视,但老年人则不那么重视。这种异质性在政策层面很重要。评估结果低于机会成本和重置成本方法得出的结果,这也许是因为揭示偏好方法很难捕捉到更广泛的效用方面。与条件价值评估方法也存在差异,这表明未来的研究应调查不同方法的外部有效性。

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