引导时间TTO:引导更好的健康状态估值?

LEAD TIME TTO: LEADING TO BETTER HEALTH STATE VALUATIONS?

Health Economics · 2012
被引 48
人大 A-ABS 3

中文导读

研究比较了传统时间权衡法(TTO)与引导时间TTO(LT-TTO)在健康状态偏好诱导中的表现,发现LT-TTO改变了生死状态估值,且引导时间与疾病时间的比例比总时长影响更大。

Abstract

Preference elicitation tasks for better than dead (BTD) and worse than dead (WTD) health states vary in the conventional time trade-off (TTO) procedure, casting doubt on uniformity of scale. 'Lead time TTO' (LT-TTO) was recently introduced to overcome the problem. We tested different specifications of LT-TTO in comparison with TTO in a within-subject design. We elicited preferences for six health states and employed an intertemporal ranking task as a benchmark to test the validity of the two methods. We also tested constant proportional trade-offs (CPTO), while correcting for discounting, and the effect of extending the lead time if a health state is considered substantially WTD. LT-TTO produced lower values for BTD states and higher values for WTD states. The validity of CPTO varied across tasks, but it was higher for LT-TTO than for TTO. Results indicate that the ratio of lead time to disease time has a greater impact on results than the total duration of the time frame. The intertemporal ranking task could not discriminate between TTO and LT-TTO.

健康状态评估时间权衡法前置时间TTO跨期排序任务