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Measuring Delay Discounting in Humans Using an Adjusting Amount Task
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Time trade-off derived EQ-5D weights for Australia.

Rosalie Viney1, Richard Norman, Madeleine T King

  • 1Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, Australia.

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
|September 15, 2011
PubMed
Summary

Australian researchers developed new health state values for the EQ-5D questionnaire. This enables cost-utility analyses to reflect Australian preferences for health-related quality of life.

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Area of Science:

  • Health Economics
  • Psychometrics
  • Quality of Life Research

Background:

  • Cost-utility analyses (CUAs) are increasingly utilized in Australia.
  • The EuroQol five-dimensional (EQ-5D) questionnaire is a key tool for measuring health-related quality of life in CUAs.
  • Australian-specific EQ-5D values were previously unavailable, hindering accurate economic evaluations.

Purpose of the Study:

  • To develop Australian population-specific values for the EQ-5D health states.
  • To create an algorithm reflecting Australian preferences for health-related quality of life.
  • To enhance the accuracy of economic evaluations in Australia.

Main Methods:

  • Employed the time trade-off elicitation method with a representative Australian sample (n=417).
  • Collected valuations for a larger set of EQ-5D health states than in prior international studies.
  • Estimated and compared various models to generate the Australian algorithm.

Main Results:

  • Generated Australia-specific EQ-5D values comparable to international datasets.
  • The inclusion of more directly valued states allowed for greater modeling of interaction effects.
  • The resulting Australian algorithm showed increased divergence from other international algorithms due to these interaction effects.

Conclusions:

  • The developed algorithm incorporates Australian community values into economic evaluations.
  • This provides a more accurate reflection of Australian health preferences.
  • Facilitates improved cost-utility analyses within the Australian healthcare system.