健康动态：优先排序中效率和公平的影响。

Health dynamics: implications for efficiency and equity in priority setting.

机构信息

Healthcare Management Group, Imperial College Business School, London, UK.

出版信息

Value Health. 2011 Mar-Apr;14(2):387-9. doi: 10.1016/j.jval.2010.09.003.

DOI:10.1016/j.jval.2010.09.003

Abstract

Health dynamics are intertemporal fluctuations in health status of an individual or a group of individuals. It has been found in empirical studies of health inequalities that health dynamics can differ systematically across subgroups, even if prevalence measured at one point in time is the same. We explore the relevance of the concept of health dynamics in the context of cost-effectiveness analysis. Although economic evaluation takes health dynamics into account where they matter in terms of efficiency, we find that it fails to take into account the equity dimensions of health dynamics. In addition, the political implications of health dynamics may influence resource allocation decisions, possibly in opposing directions.

摘要

健康动态是个体或群体健康状况的时期间波动。在健康不平等的实证研究中发现，即使在同一时间点测量的患病率相同，健康动态也可能在亚组之间存在系统差异。我们探讨了健康动态概念在成本效益分析中的相关性。尽管经济评估在效率方面考虑了健康动态的重要性，但我们发现它没有考虑健康动态的公平维度。此外，健康动态的政治影响可能会影响资源分配决策，其方向可能相反。