Money for health: the equivalent variation of cardiovascular diseases
Money for health: the equivalent variation of cardiovascular diseases
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DOI：
10.1002/hec.867
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发表时间：
2004-09-01
期刊：
影响因子：
2.1
通讯作者：
Plug, E
中科院分区：
文献类型：
--
作者：
Groot, W;van den Brink, HTM;Plug, E
本文介绍了一种计算个人愿意用金钱换取健康状况改善的程度的新方法。采用收入的个人福利函数（WFI）来计算健康损害的等效收入变化。我们认为，这种方法避免了其他付费意愿方式的各种弊端。WFI用于计算心血管疾病的等效变异。研究发现，对于一名25岁的男性，心脏病的等效变异在11.4万欧元至38万欧元之间，具体取决于福利水平。额外寿命年的费用约为1万至3万欧元。这一差异随着年龄的增长而下降，对男性和女性来说基本相同。根据选择的贴现率，估算值会进一步变化。对等效变化的估计通常高于每个QALY花费在大多数心脏相关医疗干预上的钱。成本效益分析表明，对大多数干预措施而言，健康效益的价值超过了成本。心脏移植似乎过于昂贵，而且只有在患者年轻时才有益。版权所有：John Wiley Sons， Ltd. 2004
This paper introduces a new method to calculate the extent to which individuals are willing to trade money for improvements in their health status. An individual welfare function of income (WFI) is applied to calculate the equivalent income variation of health impairments. We believe that this approach avoids various drawbacks of alternative willingness-to-pay methods. The WFI is used to calculate the equivalent variation of cardiovascular diseases. It is found that for a 25 year old male the equivalent variation of a heart disease ranges from Eeuro114 000 to Euro380 000 depending on the welfare level. This is about Euro10 000-Euro30 000 for an additional life year. The equivalent variation declines with age and is about the same for men and women. The estimates further vary by discount rate chosen. The estimates of the equivalent variation are generally higher than the money spent on most heart-related medical interventions per QALY. The cost-benefit analysis shows that for most interventions the value of the health benefits exceeds the costs. Heart transplants seem to be too costly and only beneficial if patients are young. Copyright (C) 2004 John Wiley Sons, Ltd.