健康状态评估技术的重测信度:时间权衡法和人员权衡法

Test-retest reliability of health state valuation techniques: the time trade off and person trade off

Health Economics · 2010
被引 15
人大 A-

中文导读

通过邮政调查收集798名普通人群数据,比较时间权衡法和人员权衡法在健康状态偏好评估中的重测信度,发现TTO信度普遍高于PTO。

Abstract

Economic analysis is increasingly being employed in formal resource allocation decision-making processes in health care. As a consequence, the methods employed by economic analysts are increasingly subject to close scrutiny. One such area of methodology concerns the instruments used to elicit preferences for various health states for use in the construction of quality-adjusted life years. There are a number of techniques which may be used to elicit preferences and different techniques produce different results. The objective of this study was to explore the test-retest reliability of two techniques: Time Trade Off (TTO) and Person Trade Off (PTO) valuations were collected by a general population postal survey. A total of 798 respondents returned questionnaires. The intra class correlation coefficients ranged from 0.40 to 0.88 for TTO and, -0.17 to 0.82 for PTO, with the majority of coefficients being >0.50. The reliability coefficients varied between techniques and health states, with the TTO technique tending to produce higher coefficients. While the reliability results for TTO were generally positive, the reliability results for PTO are less clear.

健康状态估值时间权衡法人际权衡法重测信度