Faculty of Health Sciences, Simon Fraser University, 8888 University Drive,Burnaby, British Columbia, V5A 1S6, Canada; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, 828 West 10th Avenue, Vancouver, British Columbia, V5Z 1M9, Canada.
Sauder School of Business, University of British Columbia, Henry Angus Building 2053 Main Mall, Vancouver, British Columbia, V6T 1Z2, Canada; Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, 588 - 1081 Burrard Street, Vancouver, British Columbia, V6Z 1Y6, Canada.
Soc Sci Med. 2020 May;253:112975. doi: 10.1016/j.socscimed.2020.112975. Epub 2020 Apr 2.
Modelling is a major method of inquiry in health economics. In other modelling-intensive fields, such as climate science, recent scholarship has described how social and ethical values influence model development. However, no similar work has been done in health economics. This study explored the role of social, ethical, and other values in health economics modelling using philosophical theory and qualitative interviews in British Columbia, Canada. Twenty-two professionals working in health economics modelling were interviewed between February and May, 2019. The study findings provide support for four philosophical arguments positing an essential role for social and ethical values throughout scientific inquiry and demonstrate how these arguments apply to health economics modelling. It highlights the role of social values in informing early modelling decisions, shaping model assumptions, making trade-offs between desirable model features, and setting standards of evidence. These results point to several decisions in the modelling process that warrant focus in future health economics research, particularly that which aims to incorporate patient and public values.
建模是健康经济学中主要的研究方法之一。在其他建模密集型领域，如气候科学，最近的学术研究描述了社会和伦理价值观如何影响模型的开发。然而，在健康经济学中，尚未开展类似的工作。本研究使用哲学理论和在加拿大不列颠哥伦比亚省的定性访谈，探讨了社会、伦理和其他价值观在健康经济学建模中的作用。2019 年 2 月至 5 月，对 22 名从事健康经济学建模工作的专业人员进行了访谈。研究结果为以下四个哲学论点提供了支持，这些论点假设社会和伦理价值观在整个科学研究中都起着至关重要的作用，并展示了这些论点如何适用于健康经济学建模。研究结果突出了社会价值在为早期建模决策提供信息、塑造模型假设、在理想模型特征之间进行权衡以及设定证据标准方面的作用。这些结果指出了建模过程中的几个需要在未来健康经济学研究中关注的决策，特别是旨在纳入患者和公众价值观的研究。
