On priority setting in preventive care resources
采用期望效用方法,研究了在疾病发生概率不同的人群中,预防性医疗资源的分配应基于预防效率而非个体风险高低,并探讨了疾病严重程度、合并症和健康状态不确定性作为替代优先排序因素的可能性。
Using an expected utility approach, we show that within a population that differs with respect to the probability of developing a disease, the allocation of preventive care resources should be prioritized based on the efficiency of prevention and not on whether individuals are at high or low risk of developing the disease. Should the efficiency of prevention be the same within the population, we show that the gravity of the disease, the presence of co-morbidities and the existence of uncertainty on health status can alternatively be considered so as to prioritize among preventive care resources.