School of Medicine and Population Health, The University of Sheffield, Sheffield, UK.
School of Economics, The University of Sheffield, Sheffield, UK.
Health Econ. 2024 Dec;33(12):2723-2741. doi: 10.1002/hec.4890. Epub 2024 Aug 27.
The call for "health and wellbeing in all policies" requires a preference-based measure that collapses multi-dimensional health and wellbeing into a single index, such as equivalent income. We aim to elicit preferences of the UK general public to estimate a value set for a suite of seven commonly used wellbeing indicators including health, income, and other dimensions, in terms of equivalent income. Secondly, we examine heterogeneous preferences by gender, by age, and by income. Thirdly, we explore the stability of preferences, since the survey took place amid the pandemic, possibly affecting preferences over health and wellbeing. Effects of attrition and of time are distinguished. Data were collected online across two waves using Discrete Choice Experiments through an internet panel (N1 = 3362; and N2 = 3357). The regression coefficients for all the ordered attribute levels have the expected sign, are significant, and ordered. Equivalent income was found to vary up to 10% by gender and by age (both significant) and 4% by income (not significant), while the effect of time was up to 16% (significant). The study facilitates the calculation of overall wellbeing in terms of equivalent income based on the preferences of the UK public, where the relevant wellbeing indicators are available.
“全政策健康福利”的呼吁需要一种基于偏好的衡量标准，将多维健康和福利综合为一个单一指数，例如等效收入。我们旨在通过英国公众的偏好来估算一套常用的七种福利指标（包括健康、收入和其他维度）的等价收入价值。其次，我们将按性别、年龄和收入对异质偏好进行检验。第三，我们探讨了偏好的稳定性，因为调查是在大流行期间进行的，这可能会影响对健康和福利的偏好。区分了损耗和时间的影响。数据通过互联网小组使用离散选择实验在线收集了两波（N1=3362；N2=3357）。所有有序属性级别的回归系数都具有预期的符号、显著且有序。发现等效收入因性别和年龄（均显著）而异，最高可达 10%，因收入而异，最高可达 4%（不显著），而时间的影响最高可达 16%（显著）。该研究为根据英国公众的偏好，在有相关福利指标的情况下，按等效收入计算整体福利提供了便利。
