Valuing Health at Different Ages Evidence from a Nationally Representative Survey in the US
Valuing Health at Different Ages Evidence from a Nationally Representative Survey in the US
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DOI：
10.2165/11587340-000000000-00000
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发表时间：
2011-05-01
影响因子：
3.6
通讯作者：
Prosser, Lisa
中科院分区：
文献类型：
--
作者：
Eisenberg, Daniel;Freed, Gary;Prosser, Lisa
背景：关于人们如何评价不同年龄组的健康收益的证据存在争议且不完整，尽管这个问题对于卫生政策中优先事项的设定具有重要意义。目的：本研究的目的是收集和分析美国具有全国代表性的数据，了解人们如何优先考虑儿童与老年人的健康计划。方法：2009 年 1 月，对具有全国代表性的美国成年人样本进行了一项在线调查。参与者被要求选择让 100 名 10 岁儿童受益的健康计划与让随机数量的 60 岁成年人受益的健康计划。参与者还被问及他们选择的原因。结果：调查回复率为 64% (n = 2132)。与让多达 1000 名 60 岁成年人受益的计划相比，大多数受访者更青睐针对 100 名 10 岁儿童的计划。即使对于最不喜欢儿童的受访者群体（没有年龄 < 18 岁的儿童的老年人）也是如此。结论：美国成年人，无论社会人口特征如何，对儿童健康收益的偏好远远超出了可以用相对预期寿命解释的差异。需要进一步的工作来了解这些发现在多大程度上准确反映了社会偏好。
Background: Evidence about how people value health gains for different age groups is controversial and incomplete, despite the significance of this issue for priority setting in health policy.Objective: The aim of this study was to collect and analyse nationally representative data in the US regarding how people prioritize health programmes for children versus older adults.Methods: In January 2009, an online survey was administered to a nationally representative sample of US adults. Participants were asked for their preferences between health programmes benefiting 100 children aged 10 years versus health programmes benefiting a randomly varying number of adults aged 60 years. Participants were also asked about reasons for their choices.Results: The survey response rate was 64% (n = 2132). Most respondents favoured programmes for 100 children aged 10 years when compared with programmes benefiting as many as 1000 adults aged 60 years. This was true even for the respondent group least inclined to favour children - older adults without children aged < 18 years.Conclusion: US adults, regardless of sociodemographic characteristics, report preferences for health gains for children that go well beyond differentials that can be explained by relative life expectancy. Further work is needed to understand the extent to which these findings accurately reflect societal preferences.