EAPSI: Measuring Public Preferences for Prioritizing Health Services under Taiwan?s National Health Insurance System

EAPSI：衡量台湾国民健康保险体系下公众对优先医疗服务的偏好

• 批准号: 1614430
• 负责人: Rebecca Schoon
• 金额: $ 0.54万
• 依托单位: Schoon Rebecca L
• 依托单位国家: 美国
• 项目类别: Fellowship Award
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-06-15 至 2017-05-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1614430&HistoricalAwards=false
• 关键词: EAPSI; Measuring; Public; Preferences; Prioritizing

All health systems struggle with unlimited needs for health care, yet limited resources with which to address them. Under national health insurance systems, policymakers have recognized the need to include public values in decisions around distributing funding and other resources across health priorities. Given the complex nature of these decisions, however, research into how to effectively measure public preferences is underdeveloped. Measuring community values poses special challenges since they involve personal opinions that can be interpreted differently across individuals and communities. This study will test a new method to promote community participation in health policymaking. The project will integrate two established methods for measuring community values, Discrete Choice Experiments (DCEs) and Citizens Juries (CJs), with the aim of maximizing their respective strengths. This research will be conducted in collaboration with Dr. Tsai-Ching Liu, a health economist and chairwoman of the Department of Public Finance at National Taipei University in Taipei, Taiwan. Advancing these methods can assist national health insurance systems to better reflect the priorities and concerns of the populations they serve.The study?s first objective is to evaluate differences in preferences when solicited through individual quantitative surveys (DCEs) versus an informed, dialogue-based group setting (CJs). The second objective is to test methodological issues in the integration of DCEs and CJs, including issues of representation and validity. This methodology is innovative in incorporating three traits that are critical to engaging the public in priority setting: i) exposing community participants to relevant technical information, ii) testing ideas and values across community members with diverse backgrounds and perspectives, and iii) providing quantifiable data compatible with national priority setting tools. The results of this study will offer an innovative research framework for the design of health systems that meaningfully represent community preferences, which is critical for public acceptance in democracies.This award under the East Asia and Pacific Summer Institutes program supports summer research by a U.S. graduate student and is jointly funded by NSF and the Ministry of Science and Technology of Taiwan.

所有卫生系统都面临着无限的医疗保健需求，但满足这些需求的资源却有限。在国家健康保险体系下，政策制定者已经认识到需要将公共价值观纳入有关在卫生优先事项中分配资金和其他资源的决策中。然而，鉴于这些决策的复杂性，如何有效衡量公众偏好的研究尚不成熟。衡量社区价值观提出了特殊的挑战，因为它们涉及个人观点，而这些观点在个人和社区之间可能有不同的解释。这项研究将测试一种促进社区参与卫生决策的新方法。该项目将整合两种既定的衡量社区价值的方法：离散选择实验（DCE）和公民陪审团（CJ），以最大限度地发挥各自的优势。这项研究将与台湾台北国立台北大学健康经济学家兼公共财政系主任刘蔡庆博士合作进行。推进这些方法可以帮助国家健康保险系统更好地反映其所服务人群的优先事项和关注点。该研究的第一个目标是评估通过个人定量调查（DCE）与知情、基于对话的群体设置（CJ）征求时的偏好差异。第二个目标是测试 DCE 和 CJ 整合中的方法问题，包括代表性和有效性问题。该方法具有创新性，它融合了对公众参与优先事项设定至关重要的三个特征：i）向社区参与者提供相关技术信息，ii）测试具有不同背景和观点的社区成员的想法和价值观，以及iii）提供与国家优先事项设定工具兼容的量化数据。这项研究的结果将为卫生系统的设计提供一个创新的研究框架，有意义地代表社区的偏好，这对于民主国家的公众接受度至关重要。该奖项属于东亚和太平洋夏季研究所计划，支持美国研究生的夏季研究，由美国国家科学基金会和台湾科学技术部共同资助。