Health Economics Unit, Institute of Applied Health Research, University of Birmingham, UK.
Harvard TH Chan School of Public Health, Harvard University, United States.
Soc Sci Med. 2022 Jan;292:114556. doi: 10.1016/j.socscimed.2021.114556. Epub 2021 Nov 10.
Carer quality of life is increasingly considered alongside patient quality of life in economic evaluation. Important questions remain about how to value carer and patient quality of life effects alongside one another. In this study, we estimated the relative social value of two conceptualisations of carer quality of life (health-related and care-related) compared to patient quality of life. Relative valuations were estimated using a person trade-off (PTO) study with 990 representative members of the UK public. Participants chose between hypothetical services that improved the quality of life of carers and patients, iterating to a point of indifference. Overall 84% of participants completing the task were willing to trade patient and carer quality of life effects. Relative to a reference point of 1 for patient health-related quality of life, we estimated a social value of 0.74 for carer health-related quality of life effects and 0.69 for carer care-related quality of life effects. In conclusion, public preferences appear to support the inclusion of carer quality of life effects within economic evaluation. The results provide a means to value different carer quality of life outcomes in economic evaluation, where such values are needed and deemed appropriate.
在经济评估中，护理人员的生活质量越来越被视为与患者的生活质量同等重要。关于如何同时评估护理人员和患者的生活质量效果，仍存在一些重要问题。在这项研究中，我们比较了两种护理人员生活质量概念（与健康相关和与护理相关）与患者生活质量的相对社会价值。使用具有 990 名英国公众代表性成员的个人权衡（PTO）研究来估计相对估值。参与者在改善护理人员和患者生活质量的假想服务之间进行选择，直到达到无差异点。总体而言，完成任务的 84%的参与者愿意权衡患者和护理人员的生活质量效果。相对于患者健康相关生活质量的参考点 1，我们估计护理人员健康相关生活质量效果的社会价值为 0.74，护理人员护理相关生活质量效果的社会价值为 0.69。总之，公众的偏好似乎支持将护理人员的生活质量效果纳入经济评估。结果提供了一种在经济评估中对不同护理人员生活质量结果进行估值的方法，在需要和认为适当的情况下，可以使用这些方法来评估不同的护理人员生活质量结果。
