Costa-Font Joan, Sato Azusa, Rovira Forns Joan
Department of Social Policy,London School of Economics (LSE),London,UK.
University of Barcelona,Barcelona,Spain.
Health Econ Policy Law. 2017 Jul;12(3):387-400. doi: 10.1017/S1744133117000032. Epub 2017 Mar 15.
Publicly funded health system reforms increasingly require the evaluation of competing programmes. However, programmes are made of multi-dimensional attributes of value (where value refers to latent expectations of health system improvement). This paper identifies the design, implementation and validation of a methodology to elicit health system values to guide health care priority setting. The exercise suggests that the proposed methodology is suitable for eliciting and validating health system values, and its findings show that pursuing health gain alone does not fully capture the dimensions of health system value. More specifically, we identify a list of health system values (elicited by both potential and actual users) and classify them in terms of process-related values (e.g., shorter waiting lists, greater choice, etc.) and improvements in health system equity in addition to value derived from health gain.
由公共资金资助的卫生系统改革越来越需要对相互竞争的项目进行评估。然而，项目是由价值的多维度属性构成的（这里的价值是指对卫生系统改善的潜在期望）。本文确定了一种用于引出卫生系统价值以指导卫生保健优先事项设定的方法的设计、实施和验证。该实践表明，所提出的方法适用于引出和验证卫生系统价值，其结果表明仅追求健康收益并不能完全涵盖卫生系统价值的维度。更具体地说，我们确定了一份卫生系统价值清单（由潜在用户和实际用户共同引出），并根据与过程相关的价值（例如，更短的等候名单、更多的选择等）以及除了健康收益所带来的价值之外的卫生系统公平性改善对其进行分类。
