Lenzen Sabrina, Gannon Brenda, Norman Richard, Bennett Sally, Clemson Lindy, Gitlin Laura
Faculty of Business, Economics and Law, Centre for the Business and Economics of Health, The University of Queensland, St Lucia, Brisbane, QLD, 4072, Australia.
School of Economics, The University of Queensland, Brisbane, Australia.
Eur J Health Econ. 2024 Dec 5. doi: 10.1007/s10198-024-01738-3.
We study the monetary value and the relative importance of several program characteristics for an evidence-based intervention provided at home for people living with dementia and their carers in Australia. Using a discrete choice experiment, advised through an expert and consumer co-design approach, we consider the total number of sessions, the delivery mode, the primary outcome and focus of the program as well as its costs as attributes. Results from a representative sample of the Australian adult population show a high willingness to pay for the program overall, even greater than the actual costs. Choice data from 940 respondents show preferences for in-person sessions over telehealth options and respondents place a high value on improving mood and dementia-related behaviour as well as independence in daily activities. Preference heterogeneity shows that people who have experience with home care services place an even higher monetary value on the program, compared to the rest of the sample. In light of the increased emphasis of governments on expanding home care options over residential care, these results contribute towards the design and implementation of a home-based program for people with dementia and their carers and highlight its social value.
我们研究了澳大利亚为痴呆症患者及其护理人员提供的居家循证干预措施的货币价值以及几个项目特征的相对重要性。通过专家与消费者共同设计的方法提供建议，采用离散选择实验，我们将课程总节数、授课方式、项目的主要成果和重点以及成本视为属性。来自澳大利亚成年人口代表性样本的结果显示，总体上人们对该项目的支付意愿很高，甚至高于实际成本。来自940名受访者的选择数据表明，相较于远程医疗选项，受访者更倾向于面对面授课，并且他们非常重视改善情绪、与痴呆症相关的行为以及日常活动中的独立性。偏好异质性表明，与样本中的其他人群相比，有居家护理服务经验的人对该项目的货币价值评价更高。鉴于政府越来越重视扩大居家护理选项而非机构护理，这些结果有助于为痴呆症患者及其护理人员设计和实施居家项目，并凸显其社会价值。
