Nothing About Us Without Us? A Comparison of Adolescent and Adult Health‐State Values for the Child Health Utility‐9D Using Profile Case Best–Worst Scaling

Health Economics (United Kingdom) - Tập 25 Số 4 - Trang 486-496 - 2016
Julie Ratcliffe1, Elisabeth Huynh2, Katherine Stevens3, John Brazier3, Michael Sawyer4, Terry N. Flynn5
1Flinders Health Economics Group; Flinders University; Australia
2Institute for Choice, University of South Australia, Australia
3Health Economics and Decision Science, ScHARR, University of Sheffield, Sheffield, UK
4Discipline of Paediatrics, University of Adelaide, Adelaide, Australia
5Centre for Research Ethics & Bioethics, Uppsala University, Uppsala, Sweden

Tóm tắt

Abstract

The main objective of this study was to compare and contrast adolescent and adult values for the Child Health Utility‐9D (CHU9D), a new generic preference‐based measure of health‐related quality of life designed for application in the economic evaluation of treatment and preventive programmes for children and adolescents. Previous studies have indicated that there may be systematic differences in adolescent and adult values for identical health states. An online survey including a series of best–worst scaling discrete choice experiment questions for health states defined by the CHU9D was administered to two general population samples comprising adults and adolescents, respectively. The results highlight potentially important age‐related differences in the values attached to CHU9D dimensions. Adults, in general, placed less weight upon impairments in mental health (worried, sad, annoyed) and more weight upon moderate to severe levels of pain relative to adolescents. The source of values (adults or adolescents) has important implications for economic evaluation and may impact significantly upon healthcare policy. Copyright © 2015 John Wiley & Sons, Ltd.

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Thông tin xuất bản

Health Economics (United Kingdom)

Tập 25 Số 4

486-496

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