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Area of Science:

  • Health Economics
  • Psychometrics
  • Societal Valuation of Health

Background:

  • The EuroQol 5-Dimension 5-Level (EQ-5D-5L) instrument is widely used for health status measurement.
  • A country-specific value set is essential for accurate health economic evaluations.
  • Slovenia previously lacked a dedicated EQ-5D-5L value set.

Purpose of the Study:

  • To generate an EQ-5D-5L value set for Slovenia.
  • To support the use of EQ-5D-5L data in health technology assessment and policy decisions in Slovenia.
  • To provide an updated and robust valuation of health states.

Main Methods:

  • A nationally representative quota sample of 1012 Slovenian adults participated.
  • Data collection followed the EuroQol Group's standard protocol, including time trade-off (TTO) and discrete choice experiment (DCE) tasks.
  • The Tobit model was applied to composite TTO (cTTO) data to derive values for 3125 EQ-5D-5L health states.

Main Results:

  • The generated EQ-5D-5L value set ranges from -1.09 to 1, with logical consistency (more severe states have lower values).
  • Pain/discomfort and anxiety/depression dimensions contributed the most disutility.
  • Most health state levels were statistically distinct, unlike the previous EQ-5D-3L set.

Conclusions:

  • The new Slovenian EQ-5D-5L value set is robust and suitable for adult populations.
  • This value set should be adopted for health economic evaluations in Slovenia.
  • It can also serve neighboring countries lacking their own EQ-5D-5L value sets.