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Swedish experience-...
Swedish experience-based value sets for EQ-5D health states
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- Burström, Kristina (författare)
- Stockholm County Council,Karolinska Institutet,Karolinska Institute, Stockholm, Sweden; Stockholm County Council, Health Care Services,Karolinska Institutet (SE)
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- Sun, Sun (författare)
- Stockholm County Council,Karolinska Institutet,Karolinska Institute, Stockholm, Sweden; Stockholm County Council, Health Care Services,Karolinska Institutet (SE)
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- Gerdtham, Ulf (författare)
- Lund University,Lunds universitet,Nationalekonomiska institutionen,Ekonomihögskolan,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Hälsoekonomi,Forskargrupper vid Lunds universitet,Department of Economics,Lund University School of Economics and Management, LUSEM,Department of Clinical Sciences, Malmö,Faculty of Medicine,Health Economics,Lund University Research Groups,Lund University, Sweden,Lund University (SE)
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- Henriksson, Martin (författare)
- Linköping University,AstraZeneca Nord, Södertälje, Sweden,AstraZeneca R&D (SE)
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- Johannesson, Magnus (författare)
- Handelshögskolan i Stockholm,Stockholm School of Economics,Stockholm School of Economics, Sweden
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- Levin, Lars-Åke (författare)
- Linköpings universitet,Linköping University,Avdelningen för hälso- och sjukvårdsanalys,Hälsouniversitetet,Linköping University (SE)
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- Zethraeus, Niklas (författare)
- Karolinska Institutet,Swedish Dental and Pharmaceutical Benefits Agency,Karolinska Institute, Stockholm, Sweden; Dental and Pharmaceutical Benefits Agency, Stockholm, Sweden,Karolinska Institutet (SE)
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(creator_code:org_t)
- 2013-08-22
- 2014
- Engelska.
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Ingår i: Quality of Life Research. - : Springer Science and Business Media LLC. - 1573-2649 .- 0962-9343. ; 23:2, s. 431-442
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Abstract
Ämnesord
Stäng
- PurposeTo estimate Swedish experience-based value sets for EQ-5D health states using general population health survey data.MethodsApproximately 45,000 individuals valued their current health status by means of time trade off (TTO) and visual analogue scale (VAS) methods and answered the EQ-5D questionnaire, making it possible to model the association between the experience-based TTO and VAS values and the EQ-5D dimensions and severity levels. The association between TTO and VAS values and the different severity levels of respondents’ answers on a self-rated health (SRH) question was assessed.ResultsAlmost all dimensions (except usual activity) and severity levels had less impact on TTO valuations compared with the UK study based on hypothetical values. Anxiety/depression had the greatest impact on both TTO and VAS values. TTO and VAS values were consistently related to SRH. The inclusion of age, sex, education and socioeconomic group affected the main effect coefficients and the explanatory power modestly.ConclusionsA value set for EQ-5D health states based on Swedish valuations has been lacking. Several authors have recently advocated the normative standpoint of using experience-based values. Guidelines of economic evaluation for reimbursement decisions in Sweden recommend the use of experience-based values for QALY calculations. Our results that anxiety/depression had the greatest impact on both TTO and VAS values underline the importance of mental health for individuals’ overall HRQoL. Using population surveys is in line with recent thinking on valuing health states and could reduce some of the focusing effects potentially appearing in hypothetical valuation studies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- EQ-5D
- Experience-based value set
- General population
- Self-rated health
- Time trade off
- Visual analogue scale
- EQ-5D; Experience-based value set; General population; Self-rated health; Time trade off; Visual analogue scale
- MEDICINE
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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