Does a health crisis change how we value health?

Webb, Edward; Kind, Paul; Meads, David; Martin, Adam

doi:10.1002/hec.4399

Cited by 15 publications

(12 citation statements)

References 38 publications

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“…It is unknown if the pandemic had an impact on how the general population valued health states, in particular whether these utilities are different from pre-COVID utilities and whether they will remain stable for the post-pandemic era. Findings from a recent study comparing EQ-5D-5L health state valuations (by using EQ VAS) before and during the pandemic in the UK suggest that COVID-19 may have affected health preferences among members of the general public [ 16 ]. Nevertheless, findings from EQVAS values may not be generalisable to cTTO utilities.…”

Section: Discussionmentioning

confidence: 99%

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Value Set for the EQ-5D-Y-3L in Hungary

et al. 2022

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Background The Hungarian health technology assessment guidelines recommend the use of the EuroQol instrument family in quality-adjusted life-year calculations. However, no national value set exists for the EQ-5D-Y-3L or any other youth-specific instrument. Objective This study aims to develop a national value set of the EQ-5D-Y-3L for Hungary based on preferences of the general adult population. Methods This study followed the international valuation protocol for the EQ-5D-Y-3L. Two independent samples, representative of the Hungarian general adult population in terms of age and sex were recruited to complete online discrete choice experiment (DCE) tasks and composite time trade-off (cTTO) tasks by computer-assisted personal interviews. Adults valued hypothetical EQ-5D-Y-3L health states considering the health of a 10-year-old child. DCE data were modelled using a mixed logit model with random-correlated coefficients. Latent DCE utility estimates were mapped onto mean observed cTTO utilities using ordinary least squares regression. Results Overall, 996 and 200 respondents completed the DCE and cTTO surveys, respectively. For each domain, the value set resulted in larger utility decrements with more severe response levels. The relative importance of domains by level 3 coefficients was as follows: having pain or discomfort > feeling worried, sad or unhappy > mobility > doing usual activities > looking after myself. Overall, 12.3% of all health states had negative utilities in the value set, with the worst health state having the lowest predicted utility of − 0.485. Conclusion This study developed a national value set of the EQ-5D-Y-3L for Hungary. The value set enables to evaluate the cost utility of health technologies for children and adolescents based on societal preferences in Hungary. Supplementary Information The online version contains supplementary material available at 10.1007/s40273-022-01190-2.

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Section: Discussionmentioning

confidence: 99%

“…The EQ-5D-Y-3L is a three-level youth measure targeting populations aged 8-15 years [13,14]. However, it requires a separate value set due to the differences in the wording of descriptive system and utilities elicited for children/adolescents in comparison with adults [9,[15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Value Set for the EQ-5D-Y-3L in Hungary

et al. 2022

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“…Furthermore, the ranking of the domains remained identical with and without the data collected during the pandemic [ 12 ]. However, a dedicated study on the effect of the COVID-19 pandemic on the attributed VAS values [ 27 ] to the best health state (11111), dead and the worst health state (55555, when using the five-level version of the EQ-5D-5L) indicated that the best health state and dead were valued lower, whereas the worst health state was valued higher post-pandemic compared with before the pandemic. Differential effects were also found by age, sex and education on the raw VAS values, and particularly relevant is the age effect on the worst health-state valuation, with older participants receiving higher scores post-pandemic.…”

Section: Discussionmentioning

confidence: 99%

An EQ-5D-Y-3L Value Set for Belgium

et al. 2022

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Background In Belgium, a value set for children and adolescents for a generic health-related quality-of-life measure is not available. To inform drug pricing and make resource allocation decisions for children and adolescents, national tax-payers’ preferences for youth health states should be known. Objective We aimed to obtain a value set for EQ-5D-Y-3L in Belgium, following the international youth valuation protocol for data collection. Methods Composite Time Trade-Off interviews were conducted in a sample of 200 adults, either face to face or via video conferencing. Another sample of 1000 adults completed an online discrete choice experiment survey. All adults were asked to take the perspective of a 10-year-old child for both methods. Both samples were representative for Belgium in terms of age, sex and region. A latent class analysis was selected to obtain the relative importance of the five dimensions and their levels based on the discrete choice experiment data, which were anchored with the composite Time Trade-Off censored value for the worst health state (33333). Results Preferences from Belgian adults revealed a mean censored value for 33333 for children and adolescents of − 0.475. All the estimated coefficients of the model with 4 latent classes were statistically significant and showed higher disutility as severity levels increase. The most important health dimension was pain/discomfort, followed by feeling sad/worried/unhappy. Conclusions This study presents the Belgian EQ-5D-Y-3L value set, which will be included in the Belgian pharmacoeconomic guidelines. The value set enables the calculation of quality-adjusted life-years in children and adolescents, allowing a cost-effectiveness evaluation of health technologies and their youth-specific price setting. Supplementary Information The online version contains supplementary material available at 10.1007/s40273-022-01187-x.

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“…The respondents assessed the availability of services provided by a primary care physician, specialist care, as well as the costs and quality of treatment of the Polish health care system, as better than the British system. It should be emphasized however, that the study was conducted prior to the SARS COVID-19 epidemic, which undoubtedly had a different effect on Polish and British health care systems, as well as societal responses [16,17]. The following may be considered as potential reasons for the higher assessment of medical services in Poland in relation to the United Kingdom: 1) Higher work culture of doctors in Western countries, which limits the over-exploitation of health care staff, by setting strict limits on the number of patients that can be attended to on a given day.…”

Section: Discussionmentioning

confidence: 99%

Comparison of health care systems in Poland and Great Britain by Poles staying temporarily in Great Britain prior to the COVID pandemic

Myśliński¹,

Szwed²,

Szwed³

et al. 2022

Ann Agric Environ Med.

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Introduction.Poland's accession to the European Union intensified migration for work purposes. One of the most popular destinations for emigration was Great Britain, which allocates more money to health protection than Poland, where there is a widespread belief that the quality of public health care is poor. However, more negative opinions were expressed by migrants about health care in Great Britain.Objective. The aim of the study was to compare and assess the quality of health services in Poland and Great Britain prior to the SARS COVID-19 pandemic. Materials and method. The study was conducted in the form of a questionnaire addressed to Poles who stay or stayed in the territory of Great Britain and used services provided by both Polish and British medical entities. 1,625 people took part in the study: 1,402 women (86.28%) and 223 men (13.72%). The survey contained 30 questions, of which statistically significant results were obtained in 5 of them. Results. There was a statistically significant difference in the average assessments of health services in Poland and Great Britain. The availability of primary health care services and specialist services, other than gynaecology, in Poland was rated higher. In addition, the quality and costs of treatment received a much higher average score in the evaluation of Polish health care compared to the British system. Conclusions. Although the amount of financial outlays and statistical data should suggest the advantage of the British health care system, the respondents assessed the services provided in Poland being better.

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Does a health crisis change how we value health?

Cited by 15 publications

References 38 publications

Value Set for the EQ-5D-Y-3L in Hungary

Value Set for the EQ-5D-Y-3L in Hungary

An EQ-5D-Y-3L Value Set for Belgium

Comparison of health care systems in Poland and Great Britain by Poles staying temporarily in Great Britain prior to the COVID pandemic

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