Economic Models and Quantitative Methods Research Group (IMEMC), Centro de Investigaciones para el Desarrollo, Universidad Nacional de Colombia, Bogotá, D.C., Colombia.
Centre for Health Economics, University of York, York, England, UK.
Value Health Reg Issues. 2024 Jan;39:40-48. doi: 10.1016/j.vhri.2023.07.004. Epub 2023 Nov 16.
Social preference values of health states are a fundamental input for the preparation of studies in health economics. Several countries have undertaken studies to obtain these values. Our objective was to conduct a structured and systematic literature review of articles that calculates this set of representative values at the national level in low- and middle-income countries (LMICs).
In this systematic review, we searched the Embase, MEDLINE, Ovid, SciELO, and LILACS databases, among others, for studies published up to June 2022 that estimated nationally representative health states preferences values for LMICs. We summarized the information qualitatively and assessed the risk of bias in each article using the consensus-based standards for selecting health measurement instruments checklist tool.
Of the 23 663 articles identified, 35 studies were eligible for inclusion. The studies were from 19 countries in Latin-American, Europe, Africa, and Asia. No studies were found for low-income countries. The most commonly applied generic instrument for measuring health-related quality of life was the 5-level version of EQ-5D and 3-level version of EQ-5D. Preference was given to face-to-face administration of these instruments. The sociodemographic variables with the most significant negative correlation versus utility were older adults, marital status (widowed or divorced), and low educational level and income.
Worldwide, there have been few studies that have estimated, in a nationally representative manner, the social values of health states preferences in LMICs. We consider the local estimate of this set of societal values relevant for any society to improve decision making in allocating resources in health budgets.
健康状况的社会偏好值是健康经济学研究准备的基本投入。多个国家已经开展了研究以获取这些值。我们的目标是对在中低收入国家（LMICs）进行国家层面代表性健康状况偏好值测算的文章进行系统的文献综述。
在这项系统综述中，我们检索了 Embase、MEDLINE、Ovid、SciELO 和 LILACS 等数据库，以获取截至 2022 年 6 月发表的估计 LMICs 国家代表性健康状况偏好值的研究。我们对信息进行了定性总结，并使用共识基础的健康测量工具选择标准检查表工具评估了每篇文章的偏倚风险。
在确定的 23663 篇文章中，有 35 项研究符合纳入标准。这些研究来自拉丁美洲、欧洲、非洲和亚洲的 19 个国家。没有发现针对低收入国家的研究。用于测量健康相关生活质量的最常用通用工具是 EQ-5D 的 5 级版本和 EQ-5D 的 3 级版本。这些工具的面对面管理更受欢迎。与效用呈显著负相关的社会人口变量是老年人、丧偶或离异的婚姻状况以及低教育水平和收入。
在全球范围内，只有少数研究以国家代表性的方式估计了 LMICs 健康状况偏好的社会价值。我们认为，对这一套社会价值的本地估计对于任何社会都很重要，可以改善在卫生预算中分配资源的决策。
