آزمایش انتخاب گسسته، رویکردی کارا در ارزشگذاری اقتصادی منافع پروژهها و سیاستهای سلامت

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دکتری اقتصاد، دانشکده اقتصاد، دانشگاه تهران

2 دانشیار دانشکده اقتصاد، دانشگاه تهران

3 استاد دانشکده اقتصاد، دانشگاه تهران

4 عضو هیات علمی مرکز پژوهش های مجلس

چکیده

امروزه یکی از آموزههای سیاستگذاری در حوزههای گوناگون، توصیه به شناخت ترجیحات جامعه هدف ازسوی سیاستگذار است. در حوزه سلامت طراحی کارا و مؤثر سیاستها و ارائه خدمات بهداشتی، نیازمند وجود انطباق میان اهداف آنها با خواستههای جامعه است که این خود مستلزم آگاهی سیاستگذاران سلامت، از ترجیحات افراد درخصوص برنامههای سلامت و دستاوردهای آن است.
مطالعات نظری نشان میدهد، یکی از بهترین روشها جهت شناسایی ترجیحات افراد جامعه و ارزشگذاری منافع سیاستها، آزمایش انتخاب گسسته است. با توجه به عدم شناخت کافی ازاینرویکرد در مطالعات داخلی و مغفول واقع شدن کاربرد آن در حوزه سیاستگذاری سلامت در کشور، در این مقاله سعی شده است دلایل اهمیت استفاده از آزمایش انتخاب گسسته در حوزه سلامت بیان شود و پس از تبیین مبانی نظری و متدولوژی بهکارگرفته شده در این رویکرد، کارکردهای گوناگون آن در این حوزه ارائه شود.
با توجه به کارکردهای آزمایش انتخاب گسسته و ازآنجاکه در ابتدای اجرای طرح پزشک خانواده قرار داریم، بهنظر نگارندگان این مقاله، یکی از الزامات و پیشنیازهای اجرای موفق طرح پزشک خانواده در کشور، آگاهی پیدا کردن نسبت به مؤلفههای اثرگذار بر تصمیم پزشکان عمومی برای ورود به این طرح ازیکطرف و ازطرفدیگر شناخت عوامل مؤثر بر تصمیم شهروندان در انتخاب پزشک خانواده خود است. وجود چنین شناختی و لحاظ آن در نحوه پیادهسازی طرح، در کنار تمهید سایر بسترهای لازم همچون منابع مالی و زیرساختهای لازم، احتمال اجرای موفقیتآمیز طرح را بهطور چشمگیری افزایش میدهد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Discrete Choice Experiment, an Efficient Approach to Economic Valuation of Benefits in Health Projects and Policies

نویسندگان [English]

  • Seyed Mohammad Hadi Sobhanian 1
  • Jafar Ebadi 2
  • Mohsen Mehrara 3
  • Ali Akhavan Behbahani 4
چکیده [English]

Today, one of the approaches that in various domains such as health care policy is adopted, is that decision makers in the process of making and implementation of policies, try as far as possible, to consider the preferences and desires of the target population. Therefore, efficient and effective policy design and delivery of health services requires adaptation of their goals to the preferences of the society, which needs knowledge of health policy makers about population’s preferences and their valuation of health programs.
Discrete choice experiment(DCE) is one of the best ways to identify the preferences of the population and valuation of outcomes. Because of little knowledge about this approach in iran and limited application of DCE in internal studies especially in the field of health policy, in this paper we emphasis on the reasons of the importance of using a DCE in the health economics and their theorical foundations and applications.
We believe that, one of the requirements and prerequisites to successful implementation of the family physician in iran, is the knowledge of policy makers about preferences and desires of participants in this program, i.e. GPs and citizens. Such knowledge, along with other necessary conditions, such as Financing and provision of necessary infrastructure, significantly increases the probability of successful implementation of the scheme.

کلیدواژه‌ها [English]

  • Economic Valuation
  • Preferences of Consumer
  • Discrete Choice Modeling
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