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Health valuation

Julia F Christensen, Antoni Gomila
Empirical aesthetics in general, and neuroaesthetics in particular, have been very much influenced by Berlyne's psychobiological program. For him, aesthetic appreciation involved the brain's reward and aversion systems. From this point of view, art constitutes a set of potentially rewarding stimuli. Research has certainly made great advances in understanding how the process of artistic valuation takes places, and which brain circuits are involved in generating the pleasure we obtain from artistic practices, performances, and works...
2018: Progress in Brain Research
Oleksandra S. Kondratiuk, Maria M. Korshun, Serhii I. Garkavyi, Serhii S. Garkavyi
Background: The mandatory swimming lesson in primary schools, equipped with swimming pools, was introduced without studying of its health-saving effectiveness. Objective: The purpose of this study was to evaluate the health status of pupils studying in schools with different organization of physical education lessons. Materials and Methods: Cross-sectional study was organized in two schools with different organization of physical education lessons...
2018: Roczniki Państwowego Zakładu Higieny
Efisio Solazzo, Angelo Riccio, Rita Van Dingenen, Luana Valentini, Stefano Galmarini
This study promotes the critical use of air pollution modelling results for health and agriculture impacts, with the primary goal of providing more reliable estimates to decision makers. To date, the accuracy of air quality (AQ) models and the effects of model-to-model result variability (which we will refer to as model uncertainty) on impact assessment studies have been often ignored, thus undermining the robustness of the information used in the decision making process and the confidence in the results obtained...
August 15, 2018: Science of the Total Environment
Samuel F Acuff, Kathryn E Soltis, Ashley A Dennhardt, Kristoffer S Berlin, James G Murphy
Heavy drinking among college students is a significant public health concern that can lead to profound social and health consequences, including alcohol use disorder. Behavioral economics posits that low future orientation and high valuation of alcohol (alcohol demand) combined with deficits in alternative reinforcement increase the likelihood of alcohol misuse (Bickel et al., 2011). Despite this, no study has examined the incremental utility of all three variables simultaneously in a comprehensive model METHOD: The current study uses structural equation modeling to test the associations between behavioral economic variables - alcohol demand (latent), future orientation (measured with a delay discounting task and the Consideration of Future Consequences (CFC) scale), and proportionate substance-related reinforcement - and alcohol consumption and problems among 393 heavy drinking college students...
May 14, 2018: Alcoholism, Clinical and Experimental Research
Julija Stoniute, David John Mott, Jing Shen
BACKGROUND: The time trade-off (TTO) technique is commonly used to elicit health state utilities. Nevertheless, when the health states being valued are temporary, the TTO approach may be unsuitable. A variant of TTO- chained TTO-has been suggested to be used when the health states are temporary, but little research has been done on how chained TTO should be conducted. OBJECTIVES: To systematically review the use of chained TTO in valuing temporary health states...
May 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Juan M Ramos-Goñi, Benjamin M Craig, Mark Oppe, Yolanda Ramallo-Fariña, Jose Luis Pinto-Prades, Nan Luo, Oliver Rivero-Arias
BACKGROUND: The Spanish five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) valuation study was the first to use the EuroQol Valuation Technology protocol, including composite time trade-off (C-TTO) and discrete choice experiments (DCE). In this study, its investigators noticed that some interviewers did not fully explain the C-TTO task to respondents. Evidence from a follow-up study in 2014 confirmed that when interviewers followed the protocol, the distribution of C-TTO responses widened...
May 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Daniel A Ollendorf, Richard H Chapman, Steven D Pearson
We find ourselves in an era of unprecedented growth in the development and use of so-called "orphan" drugs to treat rare diseases, which are poised to represent more than one-fifth of pharmaceutical expenditures by 2022. This widespread use has been facilitated by legislative and regulatory incentives in both the United States and abroad, yet US payers and health systems have not yet made a concerted effort to understand whether and how rare diseases require special considerations on their part and how to adapt traditional methods of health technology assessment and economic evaluation to accommodate these situations...
May 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Stavros Petrou, Joseph Kwon, Jason Madan
Economic analysts are increasingly likely to rely on systematic reviews and meta-analyses of health state utility values to inform the parameter inputs of decision-analytic modelling-based economic evaluations. Beyond the context of economic evaluation, evidence from systematic reviews and meta-analyses of health state utility values can be used to inform broader health policy decisions. This paper provides practical guidance on how to conduct a systematic review and meta-analysis of health state utility values...
May 10, 2018: PharmacoEconomics
Martha L Carvour, Amy E Hughes, Neal Fann, Robert W Haley
OBJECTIVES: To demonstrate the benefits-mapping software Environmental Benefits Mapping and Analysis Program-Community Edition (BenMAP-CE), which integrates local air quality data with previously published concentration-response and health-economic valuation functions to estimate the health effects of changes in air pollution levels and their economic consequences. METHODS: We illustrate a local health impact assessment of ozone changes in the 10-county nonattainment area of the Dallas-Fort Worth region of Texas, estimating the short-term effects on mortality predicted by 2 scenarios for 3 years (2008, 2011, and 2013): an incremental rollback of the daily 8-hour maximum ozone levels of all area monitors by 10 parts per billion and a rollback-to-a-standard ambient level of 65 parts per billion at only monitors above that level...
April 2018: American Journal of Public Health
Jeff Richardson, Angelo Iezzi, Aimee Maxwell
BACKGROUND: Patients with a permanent impairment may be unable to reach full health. Consequently health services which cure illnesses which are unrelated to the impairment may increase health less than services for patients with no impairment. While it has been argued that this should not lead to discrimination against impaired patients there is little evidence to determine whether this equity-efficiency trade-off is consistent with social values. OBJECTIVES: To measure the effect of permanent impairment upon the social valuation of services for unrelated illnesses...
2018: PloS One
Kai Huter, Katarzyna Dubas-Jakóbczyk, Ewa Kocot, Katarzyna Kissimova-Skarbek, Heinz Rothgang
Background: In the light of demographic developments health promotion interventions for older people are gaining importance. In addition to methodological challenges arising from the economic evaluation of health promotion interventions in general, there are specific methodological problems for the particular target group of older people. There are especially four main methodological challenges that are discussed in the literature. They concern measurement and valuation of informal caregiving, accounting for productivity costs, effects of unrelated cost in added life years and the inclusion of 'beyond-health' benefits...
2018: Cost Effectiveness and Resource Allocation: C/E
Yvonne Anne Michel, Liv Ariane Augestad, Kim Rand
BACKGROUND: The 15D is a generic preference-based health-related quality-of-life instrument developed in Finland. Values for the 15D instrument are estimated by combining responses to three distinct valuation tasks. The impact of how these tasks are combined is relatively unexplored. OBJECTIVES: To compare 15D valuation studies conducted in Norway and Finland in terms of scores assigned in the valuation tasks and resulting value algorithms, and to discuss the contributions of each task and the algorithm estimation procedure to observed differences...
April 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Zhihao Yang, Nan Luo, Gouke Bonsel, Jan Busschbach, Elly Stolk
BACKGROUND: For many countries, the three-level EuroQol five-dimensional questionnaire (EQ-5D-3L) value sets have been established to estimate health state utilities. To generate these value sets, researchers first collect values for a subset of preselected health states from a panel representing the general public, and then use a prediction algorithm to generate values for all 243 states. High prevalence of a health state in daily practice has historically been a key criterion in selecting a subset of health states as the observed set...
April 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Benjamin M Craig, Kim Rand
BACKGROUND: The 5-level version of the EQ-5D (EQ-5D-5L) was introduced as an improvement on the original 3-level version (EQ-5D-3L). To date, 6 country-specific value sets have been published for EQ-5D-5L and 9 US value sets have been published for other instruments. Our aims were to (1) produce EQ-5D-5L values on a quality-adjusted life year (QALY) scale from the perspective of US adults and (2) compare them with US EQ-5D-3L values and the other country-specific EQ-5D-5L values. METHODS: In 2016, 8222 US respondents from all 50 states and Washington, DC completed an online survey including a discrete choice experiment with 20 paired comparisons...
April 17, 2018: Medical Care
Paweł Kawalec, Ewa Stawowczyk
Introduction: Ulcerative colitis (UC) is an idiopathic inflammatory bowel disorder, which requires lifelong treatment. It generates substantial direct and indirect costs, and significantly affects the quality of life, especially in the active state of the disease. Aim: To evaluate the direct and indirect costs of UC as well as to assess disease activity and quality of life reported by patients with UC in Polish settings. Material and methods: A questionnaire, cross-sectional study among UC patients as well as physicians involved in the therapy of the patients was conducted...
2018: Przegla̜d Gastroenterologiczny
Janel Hanmer, David Cella, David Feeny, Baruch Fischhoff, Ron D Hays, Rachel Hess, Paul A Pilkonis, Dennis Revicki, Mark Roberts, Joel Tsevat, Lan Yu
PURPOSE: Health status descriptive systems based on item response theory (IRT), such as the Patient-Reported Outcomes Measurement Information System (PROMIS®), have item banks to measure domains of health. We developed a method to present such banks for health-state valuation. METHODS: We evaluated four different presentation approaches: a single item (1S), 2 items presented separately (2S), 2 items presented together (2T), or 5 items presented together (5T). We evaluated these four approaches in three PROMIS item banks (depression, physical function, and sleep disturbance)...
April 12, 2018: Quality of Life Research
Julie A Campbell, Martin Hensher, Amanda Neil, Alison Venn, Petr Otahal, Stephen Wilkinson, Andrew J Palmer
BACKGROUND: Choice of a multi-attribute utility instrument (MAUI) that appropriately assesses an intervention's health-related quality-of-life (HRQoL) impacts is a vital part of healthcare resource allocation and clinical assessment. OBJECTIVE: Our exploratory study compared the EuroQol (EQ)-5D-5L and Assessment of Quality of Life (AQoL)-8D MAUIs, which were used to assess the effect of bariatric surgery for a cohort of long-term publicly waitlisted, severely obese patients...
November 13, 2017: PharmacoEconomics Open
Maxwell Ogochukwu Adibe, Chibueze Anosike, Sunday Odunke Nduka, Abdulmuminu Isah
OBJECTIVES: The aim of this study was to determine the health status of type 2 diabetes patients in a Nigerian tertiary hospital, and examine the sociodemographic and clinical variables that predicted the health status of type 2 diabetes patients in terms of utility valuations and EuroQol Visual Analogue Scale (EQ-VAS) score. METHODS: This was a cross-sectional study of 147 diabetes patients attending the University of Nigeria Teaching Hospital, Enugu State, Nigeria...
September 7, 2017: PharmacoEconomics Open
Micah Rose, Stephen Rice, Dawn Craig
Since 2004, National Institute for Health and Care Excellence (NICE) methodological guidance for technology appraisals has emphasised a strong preference for using the validated EuroQol 5-Dimensions (EQ-5D) quality-of-life instrument, measuring patient health status from patients or carers, and using the general public's preference-based valuation of different health states when assessing health benefits in economic evaluations. The aim of this study was to review all NICE single technology appraisals (STAs) for breast cancer treatments to explore consistency in the use of utility scores in light of NICE methodological guidance...
July 5, 2017: PharmacoEconomics Open
Anna Selivanova, Erik Buskens, Paul F M Krabbe
BACKGROUND: The EQ-5D is a widely used preference-based instrument to measure health-related quality of life. Some methodological drawbacks of its three-level version (EQ-5D-3L) prompted development of a new format (EQ-5D-5L). There is no clear evidence that the new format outperforms the standard version. OBJECTIVE: The objective of this study was to make a head-to-head comparison of the EQ-5D-3L and EQ-5D-5L in a discrete choice model setting giving special attention to the consistency and logical ordering of coefficients for the attribute levels and to the differences in health-state values...
April 6, 2018: PharmacoEconomics
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