Background. The quality of care is assessed by set of indicators, including quality of life indicators. Dozens of countries have approved the EQ-5D quality of life questionnaires and have developed national / regional
evaluation systems. We carefully hypothesize that the broader usage of EQ-5D in real clinical practice of local Moscow health system could be incentivized and improved through the development of direct region-specific standard EQ-5D «values sets» for population of Russian capital. Purpose. Reviewing the results of the studies on values sets for EQ-5D as well as summarizing the parallel valuations of EQ-5D-3L and -5L by time trade-off based on two examples. Materials and methods. The study was carried out using open external databases. We analyzed
the research works which employed the standard valuation methods for EQ-5D, including time trade-off and math
modelling. Results. To obtain direct regional values for EQ-5D, standard international protocols (EQ-VT) are used with the inclusion of such tools as: time trade-off, visual analogue scale and experiments with discrete choice. In particular, the application of the time trade-off method allows the generation of direct region-specific values set for EQ-5D. Moreover, the EQ-5D-5L questionnaire was superior to EQ-5D-3L in many aspects. Conclusion. The best results in health assessments could be obtained by applying a variety of methods adapted to the specific
highly urbanized region. The many issues behind the standardization of EQ-5D (particularly EQ-5D-5L) value
sets in accordance with the cultural/societal preferences of Moscow city population as well as entire Russian population remain unresolved.