Dataset Information

International comparison of experience-based health state values at the population level.

ABSTRACT:

Background

Decision makers need to know whether health state values, an important component of summary measures of health, are valid for their target population. A key outcome is the individuals' valuation of their current health. This experience-based perspective is increasingly used to derive health state values. This study is the first to compare such experience-based valuations at the population level across countries.

Methods

We examined the relationship between respondents' self-rated health as measured by the EQ-VAS, and the different dimensions and levels of the EQ-5D-3 L. The dataset included almost 32,000 survey respondents from 15 countries. We estimated generalized linear models with logit link function, including country-specific models and pooled-data models with country effects.

Results

The results showed significant and meaningful differences in the valuation of health states and individual health dimensions between countries, even though similarities were present too. Between countries, coefficients correlated positively for the values of mobility, self-care and usual activities, but not for the values of pain and anxiety, thus underlining structural differences.

Conclusions

The findings indicate that, ideally, population-specific experience-based value sets are developed and used for the calculation of health outcomes. Otherwise, sensitivity analyses are needed. Furthermore, transferring the results of foreign studies into the national context should be performed with caution. We recommend future studies to investigate the causes of differences in experience-based health state values through a single international study possibly complemented with qualitative research on the determinants of valuation.

SUBMITTER: Heijink R

PROVIDER: S-EPMC5501450 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

International comparison of experience-based health state values at the population level.

Heijink Richard R Reitmeir Peter P Leidl Reiner R

Health and quality of life outcomes 20170707 1

<h4>Background</h4>Decision makers need to know whether health state values, an important component of summary measures of health, are valid for their target population. A key outcome is the individuals' valuation of their current health. This experience-based perspective is increasingly used to derive health state values. This study is the first to compare such experience-based valuations at the population level across countries.<h4>Methods</h4>We examined the relationship between respondents' ...[more]

PMID: 28683747

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Dataset Information

International comparison of experience-based health state values at the population level.

Background

Methods

Results

Conclusions

Publications

International comparison of experience-based health state values at the population level.

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