Abstract
Abstract In most of the cost-utility literature, quality-adjusted life-year (QALY) gains are interpreted as a measure of social value. Given this interpretation, the validity of different multi-attribute health-state scaling instruments may be tested by comparing the values they provide on the 0–1 QALY scale with directly elicited preferences for person trade-offs between different treatments (equivalence of numbers of different patients treated). Norwegian and Australian public preferences as measured by the person trade-off suggest that the EuroQol Instrument assigns excessively low values to health states. This seems to be even more true of the McMaster Health Classification System. The Quality of Well-being Scale appears to compress states toward the middle of the 0–1 scale. By contrast, the Rosser/Kind index fits reasonably well with directly measured person trade-off data.
Keywords
NorwegianScale (ratio)Quality-adjusted life yearEquivalence (formal languages)EQ-5DPublic healthQuality of life (healthcare)ScalingContrast (vision)PsychologyMedicineActuarial scienceEconometricsMEDLINEEconomicsComputer scienceCost effectivenessHealth related quality of lifeMathematicsPolitical scienceNursingGeographyArtificial intelligenceRisk analysis (engineering)
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Publication Info
- Year
- 1993
- Type
- article
- Volume
- 9
- Issue
- 4
- Pages
- 463-478
- Citations
- 107
- Access
- Closed
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Cite This
Erik Nord,
Jeff Richardson,
Kelly Macarounas-Kirchmann
(1993).
Social Evaluation of Health Care Versus Personal Evaluation of Health States:<i>Evidence on the Validity of Four Health-state Scaling Instruments Using Norwegian and Australian Surveys</i>.
International Journal of Technology Assessment in Health Care
, 9
(4)
, 463-478.
https://doi.org/10.1017/s0266462300005390
Identifiers
- DOI
- 10.1017/s0266462300005390