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开发适用于匈牙利的 ICECAP-A 工具的人口关税,并将其与英国关税进行比较。

Development of Population Tariffs for the ICECAP-A Instrument for Hungary and their Comparison With the UK Tariffs.

机构信息

School of Accounting and Finance, University of Bristol, Bristol, England, UK.

Department of Health Services Research and Policy, Research School of Population Health, Australian National University, Acton, Australia.

出版信息

Value Health. 2021 Dec;24(12):1845-1852. doi: 10.1016/j.jval.2021.06.011. Epub 2021 Aug 13.

DOI:10.1016/j.jval.2021.06.011
PMID:34838283
Abstract

OBJECTIVES

The ICEpop CAPability measure for Adults (ICECAP-A) was developed to assess the capability well-being of adults for use in economic evaluations. Currently, ICECAP-A tariffs are available only for the UK population. The objectives of this study were to develop a Hungarian tariff set for the ICECAP-A instrument and to explore intercountry differences between the Hungarian and the UK value sets.

METHODS

A survey was conducted by computer-assisted personal interviews on a sample representative of the Hungarian adult population (N = 1000) to elicit their preferences regarding ICECAP-A attributes with the use of a best-worst scaling choice task. A latent class multinomial logit model with continuous variance scale was used to estimate the weights for each of the 4 capability levels of all 5 ICECAP-A attributes, namely, attachment, stability, achievement, enjoyment, and autonomy.

RESULTS

The model identified 2 preference classes with approximately equal share. The first class had a stronger relative preference for autonomy and achievement, whereas the second class had a strong preference for attachment. Multivariate analysis of the classes revealed that women, pensioners, people who are married or living in a partnership, and people with poorer health status are characteristics associated with the latter class membership (preference for attachment). Population tariffs were estimated from the model. Overall, attachment was found to be the most important attribute, followed by stability, enjoyment, achievement, and autonomy.

CONCLUSIONS

Hungarian tariffs are largely consistent with those found for the United Kingdom; nevertheless, autonomy seems to be less important in Hungary compared with the United Kingdom.

摘要

目的

ICEpop 成人能力量表(ICECAP-A)旨在评估成年人的能力福祉,以用于经济评估。目前,ICECAP-A 关税仅适用于英国人口。本研究的目的是为 ICECAP-A 工具开发匈牙利关税,并探讨匈牙利和英国价值体系之间的国家间差异。

方法

通过计算机辅助个人访谈,对具有代表性的匈牙利成年人群体(N=1000)进行了一项调查,以使用最佳最差分级选择任务来了解他们对 ICECAP-A 属性的偏好。使用具有连续方差尺度的潜在类别多项逻辑回归模型来估计所有 5 个 ICECAP-A 属性的 4 个能力水平的每个属性的权重,即依恋、稳定性、成就、享受和自主。

结果

该模型确定了两个偏好类,其份额大致相等。第一类对自主性和成就有更强的相对偏好,而第二类对依恋有强烈的偏好。对类别的多元分析表明,女性、退休人员、已婚或处于伴侣关系中的人以及健康状况较差的人是与后一类成员(对依恋的偏好)相关的特征。从模型中估计了人口关税。总体而言,依恋被认为是最重要的属性,其次是稳定性、享受、成就和自主。

结论

匈牙利关税与在英国发现的关税基本一致;然而,与英国相比,自主在匈牙利似乎不那么重要。

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