Consumer Preferences for Health and Nonhealth Outcomes of Health Promotion: Results from a Discrete Choice Experiment
Consumer Preferences for Health and Nonhealth Outcomes of Health Promotion: Results from a Discrete Choice Experiment
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DOI：
10.1016/j.jval.2012.08.2211
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发表时间：
2013-01-01
期刊：
影响因子：
4.5
通讯作者：
Severens, J. L.
中科院分区：
文献类型：
--
作者：
Alayli-Goebbels, Adrienne F. G.;Dellaert, Benedict G. C.;Severens, J. L.
目的：健康促进(HP)干预具有超越健康的结果。在经济评估研究中，这种更广泛的非健康后果通常被忽视。为了便于他们的考虑，需要洞察惠普干预措施产生的非健康后果的类型，以及它们与健康后果相比的相对重要性。这项研究探讨了在生活方式行为改变的背景下，惠普的消费者对健康和非健康结果的偏好。方法：在生活方式干预组(n=132)和对照组(n=141)之间进行离散选择实验。受访者在生活方式行为改变后可能经历的情况中做出了16个二元选择。这些情况由10个属性描述：未来健康状态值，未来健康状态的起点，预期寿命，衣服尺码超过理想的天数，充分放松的天数，耐力，对生活方式选择的经验控制，伴侣和/或孩子的生活方式改善，每月的货币成本和每周的时间成本。结果：除“每周花费的时间”和“未来健康状况的起点”外，所有属性都显著地决定了消费者的选择。因此，健康和非健康结果都会影响消费者的选择。价格属性与其他属性之间的边际替代率显示，“耐力”、“充分放松的天数”和“未来健康状态价值”属性对消费者的选择影响最大。“预期寿命”属性的影响相对较小，对于不到3年的增长，受访者不愿交易。结论：在这项研究中，生活方式行为改变的健康结果和非健康结果对消费者都很重要。决策者在决定惠普的干预措施时，应该对消费者的偏好做出反应，并考虑非健康后果。
Objective: Health promotion (HP) interventions have outcomes that go beyond health. Such broader nonhealth outcomes are usually neglected in economic evaluation studies. To allow for their consideration, insights are needed into the types of nonhealth outcomes that HP interventions produce and their relative importance compared with health outcomes. This study explored consumer preferences for health and nonhealth outcomes of HP in the context of lifestyle behavior change. Methods: A discrete choice experiment was conducted among participants in a lifestyle intervention (n = 132) and controls (n = 141). Respondents made 16 binary choices between situations that can be experienced after lifestyle behavior change. The situations were described by 10 attributes: future health state value, start point of future health state, life expectancy, clothing size above ideal, days with sufficient relaxation, endurance, experienced control over lifestyle choices, lifestyle improvement of partner and/or children, monetary cost per month, and time cost per week. Results: With the exception of "time cost per week" and "start point of future health state," all attributes significantly determined consumer choices. Thus, both health and nonhealth outcomes affected consumer choice. Marginal rates of substitution between the price attribute and the other attributes revealed that the attributes "endurance," "days with sufficient relaxation," and "future health state value" had the greatest impact on consumer choices. The "life expectancy" attribute had a relatively low impact and for increases of less than 3 years, respondents were not willing to trade. Conclusions: Health outcomes and nonhealth outcomes of lifestyle behavior change were both important to consumers in this study. Decision makers should respond to consumer preferences and consider nonhealth outcomes when deciding about HP interventions.