Measuring people's preferences regarding ageism in health: some methodological issues and some fresh evidence

Measuring people's preferences regarding ageism in health: some methodological issues and some fresh evidence
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DOI:
10.1016/s0277-9536(02)00418-5
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发表时间:
2003-08-01
影响因子:
5.4
通讯作者:
Shaw, R
Shaw, R
中科院分区:
医学2区
文献类型:
--
作者:
Tsuchiya, A;Dolan, P;Shaw, R

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在本文中,我们概述了“年龄歧视”的三个主要概念;健康最大化年龄歧视,生产力年龄歧视和公平的年龄歧视。我们提供了一个方法论的概述,现有的实证文献对人们的偏好reearing年龄和分类这些研究根据已被问到的问题的类型。我们认为,在引起有关年龄歧视的偏好所涉及的一些方法问题,并建议使用一个固定的福利期限,而不是像一些研究所做的,一个好处,持续一个完整的一生。通过这种讨论,我们提出了我们自己的实证研究的结果,在英国进行,结合定性和定量的方法来探索人们选择一个年龄的原因。这样,我们便可考虑受访者在多大程度上会将外来因素纳入其回应及/或忽略有关资料(例如有关福利的固定性质的资料)。结果表明,人们普遍赞成优先考虑年轻人,而不是老年人,这是基于与生产力年龄歧视和公平年龄歧视有关的论点。然而,受访者似乎认为福利将持续整个一生(即使他们被告知承担固定福利),除非他们被要求首先考虑“终身”福利。这种特殊的框架效应对偏好诱导研究具有重要意义,它表明,如果你想让人们回答你心中的问题,首先问他们你认为他们可能想到的问题。(C)2003爱思唯尔科技有限公司版权所有。
In this paper, we outline the three main concepts of 'ageism'; health maximisation ageism, productivity ageism, and fair innings ageism. We provide a methodological overview of the existing empirical literature on people's preferences reearding age and classify these studies according to the types of questions that have been asked. We consider some of the methodological issues involved in eliciting preferences regarding ageism and propose using a fixed duration of benefit rather than, as some studies have done, a benefit that lasts for a full lifetime. Informed by this discussion, we present the results from our own empirical study, carried out in the UK, which combines qualitative and quantitative methods to explore the reasons people have for choosing one age over another. In so doing, we are able to consider the extent to which respondents might bring extraneous factors to bear on their responses and/or disregard relevant information (such as that relating to the fixed nature of the benefit). The results suggest that people are broadly in favour of giving priority to younger over older people, based on arguments relating to both productivity ageism and fair innings ageism. However, respondents appear to assume that a benefit would last for a full lifetime (even if they are told to assume a fixed benefit), unless they are asked to consider a 'full-life' benefit first. This particular framing effect has important implications for preference elicitation studies, suggesting that if you want people to answer the question you have in mind, first ask them the question you think they may have in mind. (C) 2003 Elsevier Science Ltd. All rights reserved.