What matters most?: evidence-based findings of health dimensions affecting the societal preferences for EQ-5D health states

Autor: Monica Viegas Andrade, Kenya Valeria Micaela de Souza Noronha, Ana Carolina Maia, Paul Kind
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2013
Předmět:
Zdroj: Cadernos de Saúde Pública, Vol 29, Iss suppl 1, Pp s59-s72 (2013)
Druh dokumentu: article
ISSN: 1678-4464
0102-311X
DOI: 10.1590/0102-311X00021113
Popis: This study analyzes how different health dimensions defined by the EQ-5D-3L instrument affect average individual preferences for health states. This analysis is an important benchmark for the incorporation of health technologies as it takes into consideration Brazilian population preferences in health resource allocation decisions. The EQ-5D instrument defines health in terms of five dimensions (mobility, daily activities, self-care activities, pain/discomfort, and anxiety/depression) each divided into three levels of severity. Data came from a valuation study with 3,362 literate individuals aged between 18 and 64 living in urban areas of Minas Gerais State, Brazil. The main results reveal that health utility decreases as the level of severity increases. With regard to health issues, mobility stands out as the most important EQ-5D dimension. Independently of severity levels of the other EQ-5D-3L dimensions, the highest decrements in utilities are associated with severe mobility problems.
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