Including carer health-related quality of life in NICE health technology assessments in the United Kingdom
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View abstract on PubMed
Summary
This summary is machine-generated.Including informal carer health-related quality of life (HRQoL) in economic evaluations is crucial for comprehensive health technology assessments. This paper guides justifying, measuring, and modeling carer HRQoL for better healthcare decisions.
Area Of Science
- Health economics
- Health technology assessment
- Patient-reported outcomes
Background
- Health technologies impact not only patients but also their informal carers' health-related quality of life (HRQoL).
- The National Institute for Health and Care Excellence (NICE) permits carer HRQoL inclusion in economic evaluations, yet its application is infrequent.
- Substantial carer HRQoL effects necessitate their inclusion for accurate economic assessments.
Purpose Of The Study
- To delineate criteria for justifying the inclusion of carer HRQoL in economic evaluations.
- To outline methods for substantiating and measuring carer HRQoL.
- To explore strategies for incorporating carer HRQoL into health economic models.
Main Methods
- Review of NICE guidelines and appraisal practices regarding carer HRQoL.
- Discussion of data collection strategies, including primary data and alternative methods like vignette studies, existing values, and mapping algorithms.
- Analysis of how carer HRQoL is modeled, often as a function of patient health state or disease severity.
Main Results
- Inclusion of carer HRQoL is best substantiated by data from patients eligible for the intervention.
- The EQ-5D is identified as a suitable instrument for measuring carer HRQoL in the UK context.
- Carer HRQoL is frequently modeled based on the patient's health status.
Conclusions
- Economic evaluations should justify and clearly present the inclusion of carer HRQoL.
- Standardized methods for measuring and modeling carer HRQoL enhance consistency and comparability.
- Accurate economic evaluations require considering the broader impact on informal carers' well-being.
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