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Eliciting a value s...
Eliciting a value set for the Swedish capability-adjusted life years instrument (CALY-SWE)
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- Meili, Kaspar Walter (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden.
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- Mulhern, Brendan (author)
- Centre for Health Economics Research and Evaluation, University of Technology Sidney, Ultimo, Australia,Univ Technol Sidney, Ctr Hlth Econ Res & Evaluat, Ultimo, Australia.
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- Ssegonja, Richard (author)
- Uppsala universitet,Socialmedicin/CHAP,Lung- allergi- och sömnforskning
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- Norström, Fredrik (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden.
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- Feldman, Inna, Docent, 1951- (author)
- Uppsala universitet,Umeå universitet,Institutionen för epidemiologi och global hälsa,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden,Socialmedicin/CHAP,Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden
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- Månsdotter, Anna (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden.
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- Hjelte, Jan, 1965- (author)
- Umeå universitet,Institutionen för socialt arbete,Umeå Univ, Dept Social Work, Umeå, Sweden.
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- Lindholm, Lars (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden.
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(creator_code:org_t)
- Springer Nature, 2024
- 2024
- English.
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In: Quality of Life Research. - : Springer Nature. - 0962-9343 .- 1573-2649. ; 33:1, s. 59-72
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Abstract
Subject headings
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- Purpose: Our aim was to elicit a value set for Capability-Adjusted Life Years Sweden (CALY-SWE); a capability-grounded quality of life instrument intended for use in economic evaluations of social interventions with broad consequences beyond health.Methods: Building on methods commonly used in the quality-adjusted life years EQ-5D context, we collected time-trade off (TTO) and discrete choice experiment (DCE) data through an online survey from a general population sample of 1697 Swedish participants. We assessed data quality using a score based on the severity of inconsistencies. For generating the value set, we compared different model features, including hybrid modeling of DCE and TTO versus TTO data only, censoring of TTO answers, varying intercept, and accommodating for heteroskedasticity. We also assessed the models’ DCE logit fidelity to measure agreement with potentially less-biased DCE data. To anchor the best capability state to 1 on the 0 to 1 scale, we included a multiplicative scaling factor.Results: We excluded 20% of the TTO answers of participants with the largest inconsistencies to improve data quality. A hybrid model with an anchor scale and censoring was chosen to generate the value set; models with heteroskedasticity considerations or individually varying intercepts did not offer substantial improvement. The lowest capability weight was 0.114. Health, social relations, and finance and housing attributes contributed the largest capability gains, followed by occupation, security, and political and civil rights.Conclusion: We elicited a value set for CALY-SWE for use in economic evaluations of interventions with broad social consequences.
Subject headings
- 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)
Keyword
- Quality-adjusted life year
- Time trade-off
- Discrete choice experiment
- Capability approach
- Hybrid modeling
- Economic evaluation
Publication and Content Type
- ref (subject category)
- art (subject category)
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Meili, Kaspar Wa ...
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Mulhern, Brendan
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Ssegonja, Richar ...
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Norström, Fredri ...
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Feldman, Inna, D ...
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Månsdotter, Anna
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Hjelte, Jan, 196 ...
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Lindholm, Lars
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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Quality of Life ...
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Umeå University
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Uppsala University