激励对健康风险价值评估的影响

The Impact of Incentives on Valuing Health Risks

Health Economics · 2025
被引 0
人大 A-

中文导读

通过对比有真实支付激励和无激励的离散选择实验,发现激励会降低统计生命价值估计值,但两种实验都存在外部范围不敏感,表明范围不敏感与支付假设性无关。

Abstract

Recent research has found that health risk values elicited using Discrete Choice Experiments (DCEs) may be inadequately sensitive to the magnitude of the risk reduction, a phenomenon referred to as insensitivity to scope. This paper investigates the use of DCEs to estimate the value of a statistical life (VSL) under different experimental conditions. In particular, we use an experimental design where in one experimental arm we carry out a standard unincentivised DCE as in the existing literature, while in the other experimental arm we carry out an incentivized version of the DCE with real payments. Our findings suggest that the incentive has an impact on the results, in the sense that the VSL estimates are higher in the unincentivised arm of the experiment. However, we find evidence of external insensitivity to scope in both experimental arms and only weak evidence of stronger internal sensitivity to scope in the incentivized arm. Hence, our results suggest that a lack of scope sensitivity is unrelated to the hypothetical nature of the payments in stated-preference valuations of health risks.

离散选择实验统计生命价值激励效应范围敏感性