Optimal allocation of resources over health care programmes: dealing with decreasing marginal utility and uncertainty
Optimal allocation of resources over health care programmes: dealing with decreasing marginal utility and uncertainty
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DOI：
10.1002/hec.973
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发表时间：
2005-07-01
期刊：
影响因子：
2.1
通讯作者：
van Hout, BA
中科院分区：
文献类型：
--
作者：
Al, MJ;Feenstra, TL;van Hout, BA
本文讨论的问题，如何价值的成本与效果的不同比例的医疗保健计划，特别是当考虑到这些成本和效果是不确定的。首先，传统的框架，最大限度地提高健康的影响与给定的医疗保健预算扩展到一个灵活的预算使用价值函数的金钱和健康的影响。第二，围绕成本和效果的不确定性被包括在使用预期效用的模型中。不确定性的其他方法，不指定的效用函数进行了讨论，有人认为，这些也包括隐含的风险态度的概念。版权所有（c）2005年约翰威利父子有限公司。
This paper addresses the problem of how to value health care programmes with different ratios of costs to effects, specifically when taking into account that these costs and effects are uncertain. First, the traditional framework of maximising health effects with a given health care budget is extended to a flexible budget using a value function over money and health effects. Second, uncertainty surrounding costs and effects is included in the model using expected utility. Other approaches to uncertainty that do not specify a utility function are discussed and it is argued that these also include implicit notions about risk attitude. Copyright (c) 2005 John Wiley & Sons, Ltd.