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Disability weights measurement for 17 diseases in Japan: A survey based on medical professionals

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  • Piao, Xiangdan
  • Tsugawa, Shuichi
  • Takemura, Yukie
  • Ichikawa, Naoko
  • Kida, Ryohei
  • Kunie, Keiko
  • Managi, Shunsuke

Abstract

When judging a population’s health to determine disability-adjusted life years, disability weight is a tool for measuring the severity of disability caused by a disease. However, previous studies have pointed out that surveys targeting ordinary citizens produce unclear disability weight values. Therefore, in an attempt to obtain clearer estimations, we conduct a paper-based questionnaire survey of medical professionals – nurses with over ten years of experience – believed to have extensive knowledge of diseases and experience in patient care. We find that disability weight estimations based on the survey of medical professionals presents higher values than those based on a survey of ordinary citizens using the same estimation approach, especially for non-terminal-stage diseases. This suggests that medical-professionals-based surveys may correct the underestimated disability weights of non-terminal diseases (e.g., early stage of cancers and mellitus) found through ordinary-citizens-based surveys. Moreover, we illustrate that depressive disorder and early-stage cancers have almost the same health loss since their disability weights are similar.

Suggested Citation

  • Piao, Xiangdan & Tsugawa, Shuichi & Takemura, Yukie & Ichikawa, Naoko & Kida, Ryohei & Kunie, Keiko & Managi, Shunsuke, 2021. "Disability weights measurement for 17 diseases in Japan: A survey based on medical professionals," Economic Analysis and Policy, Elsevier, vol. 70(C), pages 238-248.
    • Handle: RePEc:eee:ecanpo:v:70:y:2021:i:c:p:238-248
    DOI: 10.1016/j.eap.2021.02.010
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    References listed on IDEAS

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    1. Erik Nord, 1995. "The Person-trade-off Approach to Valuing Health Care Programs," Medical Decision Making, , vol. 15(3), pages 201-208, August.
    2. R.M.P.M. Baltussen & M. Sanon & J. Sommerfeld & R. Würthwein, 2002. "Obtaining disability weights in rural Burkina Faso using a culturally adapted visual analogue scale," Health Economics, John Wiley & Sons, Ltd., vol. 11(2), pages 155-163, March.
    3. Nord, Erik, 2013. "Disability weights in the Global Burden of Disease 2010: Unclear meaning and overstatement of international agreement," Health Policy, Elsevier, vol. 111(1), pages 99-104.
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    More about this item

    Keywords

    Disability weights; Japan; Medical professionals;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other

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