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研究综述与统计生命价值

Research Synthesis and the Value per Statistical Life.

作者信息

Robinson Lisa A, Hammitt James K

机构信息

Harvard University, Boston, MA, USA.

出版信息

Risk Anal. 2015 Jun;35(6):1086-100. doi: 10.1111/risa.12366. Epub 2015 Apr 7.

Abstract

The value of small changes in mortality risk, conventionally expressed as the value per statistical life (VSL), is a major determinant of the benefits of many environmental, health, and safety regulations and other policies. However, selecting an appropriate value is challenging. Different studies yield different results and analysts often find they lack estimates that are directly applicable to the policy they are assessing. Research-synthesis methods are widely used to address these concerns in many fields, yet we find only limited applications to estimating VSL. More structured, criteria-driven review of the available studies is an important first step. Additional meta-analyses that use such review as a starting point are needed to explore variation across studies as well as to adjust estimates to better fit different policy contexts. Carefully designed expert elicitation is significantly underutilized and is particularly important when the available research is limited or inconsistent. Although greater use of such methods is likely to enhance the credibility of the VSL estimates applied in policy analyses, as well as provide greater insights into the advantages and limitations of the available research, it is not clear how much the resulting estimates will vary from those currently used. In the United States, these estimates are generally around $9 million.

摘要

死亡率风险的微小变化值,通常以统计生命价值(VSL)来表示,是许多环境、健康和安全法规以及其他政策效益的主要决定因素。然而,选择一个合适的值具有挑战性。不同的研究得出不同的结果,分析人员常常发现他们缺乏直接适用于所评估政策的估计值。研究综合方法在许多领域被广泛用于解决这些问题,但我们发现其在估计VSL方面的应用有限。对现有研究进行更有条理、基于标准的审查是重要的第一步。需要以这种审查为起点进行更多的荟萃分析,以探索不同研究之间的差异,并调整估计值以更好地适应不同的政策背景。精心设计的专家意见征集方法未得到充分利用,在现有研究有限或不一致时尤其重要。尽管更多地使用这些方法可能会提高政策分析中应用的VSL估计值的可信度,并能更深入地了解现有研究的优缺点,但目前尚不清楚由此得出的估计值与当前使用的估计值会有多大差异。在美国,这些估计值通常约为900万美元。

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