离散选择实验和优劣尺度法在医药卫生领域联合使用及比较研究评述  

Review on the Combined Use and Comparative Study of Discrete Choice Experiment and Best-worst Scaling in the Field of Healthcare

作　　者：杨惠芝 王立敏 李顺平[1,2,3] YANG Huizhi(Center for Health Management&Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong,250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250012 [3]山东大学健康偏好研究中心,山东济南250012

出　　处：《医学与社会》2022年第5期102-107,共6页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为72174110。

摘　　要：目的:梳理同时使用离散选择实验(discrete choice experiment, DCE)和优劣尺度法(best-worst scaling, BWS)进行偏好研究的文献,比较两种方法的可接受性、有效性与结果一致性。方法:计算机检索2017年1月至2021年12月在PubMed、Web of Science、Embase、Scoups、CNKI和万方发表的联合两种方法的中英文文献,从实验设计、数据收集、统计分析3个环节进行梳理,并比较结果一致性。结果:共检索文献426篇,纳入13篇。DCE和BWS两者测量的偏好结果一致性较高。比较两种方法的可接受性,DCE的应答率更高,回答时间更短,受访者更加青睐;比较两者的有效性,DCE的稳定性和连续性均高于BWS。结论:DCE和BWS一般情况下能提供相似的偏好估计,但对于两者的有效性高低和替代性证据有限,我国尚无该领域的研究,应开展更多高质量的相关研究,为两种方法的应用提供依据。Objective: To review the literature of preference research using discrete choice experiment(DCE) and best-worst scaling(BWS) simultaneously, so as to compare the acceptability, validity and concordance of these two methods. Methods: Using PubMed, Web of Science, Embase, Scoups, CNKI and Wanfang Data to retrieve Chinese and English literature published about the two methods from January 2017 to December 2021. The experimental design, data collection and statistical analysis were sort out, and compared the consistency of the results. Results: A total of 426 articles were retrieved, and 13 articles were finally included. The preference results measured by DCE and BWS were basically consistent. For the acceptability of the two methods, the response rate of DCE was higher than BWS, and the response time was shorter. Respondents prefer DCE rather than BWS. For the effectiveness of the two methods, the stability and continuity of DCE were higher than those of BWS. Conclusion: In general, DCE and BWS can provide similar preference estimation, but the effectiveness and alternative evidence of DCE and BWS are limited. Until now, there is no such research in China and more high-quality research should be carried out to provide the basis for the application of the two methods.

关 键 词：医药卫生 离散选择实验 优劣尺度法 文献综述 

分 类 号：R195[医药卫生—卫生统计学]