Department of Applied Health Research, University College London, Room 112, 1-19 Torrington Place, London, WC1E 7HB, UK.
Division of Psychiatry, Faculty of Brain Sciences, University College London, London, UK.
Eur J Health Econ. 2018 Apr;19(3):419-433. doi: 10.1007/s10198-017-0893-7. Epub 2017 Apr 13.
The objective of disability policy is to create a society where people with disabilities and their families enjoy an equal standard of living to those without disabilities, though evidence to underpin policy is sparse. We defined the compensating variation (CV) of child disability as the amount of additional income a family with a disabled child would require to achieve the same living standards as a similar family without a disabled child. The aims of this study were to estimate the CV for child disability and to explore how this varied for different levels of disability and reference levels of living standards. Using data on 54,641 families from the Family Resources Survey (2004-2012), we matched families with (cases) and without (controls) a disabled child on family and child characteristics plus living standards and calculated the income difference inclusive of disability benefits. Our findings suggest that across families with the most disabled children, a compensating variation equal to an extra £56-£79 a week was required to achieve the same living standards as matched families without a disabled child compared with the mean level of state disability benefit £47-£71 a week in this group.
残疾政策的目标是创建一个残疾人及其家庭能够享有与非残疾人同等生活水平的社会，但支持政策的证据却很少。我们将儿童残疾的补偿性变化（CV）定义为一个有残疾儿童的家庭为了达到与没有残疾儿童的类似家庭相同的生活水平所需的额外收入。本研究的目的是估计儿童残疾的 CV，并探讨其在不同残疾程度和参考生活水平下的变化情况。我们使用了来自家庭资源调查（2004-2012 年）的 54641 个家庭的数据，根据家庭和儿童特征以及生活水平对有残疾儿童的家庭（病例）和没有残疾儿童的家庭（对照）进行了匹配，并计算了包括残疾津贴在内的收入差异。我们的研究结果表明，在残疾程度最严重的家庭中，与残疾儿童匹配的家庭相比，为了达到与没有残疾儿童的家庭相同的生活水平，需要额外的每周 56-79 英镑的补偿性变化，而这一组的国家残疾津贴平均水平为每周 47-71 英镑。
