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Positive Association between Current Health and Health Values for Hypothetical Disease States

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  • Joseph T. King Jr.

    (Surgical Service/112, VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT 06516; telephone: (203) 937-4433; fax: (203) 937-3845; Joseph.KingJr@med.va.gov.)

  • Joel Tsevat

    (Section of Outcomes Research, Division of General Internal Medicine, Department of Internal Medicine, University of Cincinnati Medical Center, Cincinnati, OH; Center for Clinical Effectiveness, Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center, Cincinnati, OH; Veterans Affairs Medical Center, Cincinnati, OH)

  • Mark S. Roberts

    (Section of Decision Sciences and Clinical Systems Modeling, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA; Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA; Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA; Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA)

Abstract

Background : Valuations of hypothetical health state scenarios can be affected by participant characteristics . Methods : The authors interviewed 108 veterans using the visual analogue scale (VAS), standard gamble (SG), time tradeoff (TTO), and willingness to pay (WTP) tomeasure health values for 1) current health and 2) 3 hypothetical health states portrayed in written scenarios describing cervical spondylotic myelopathy (CSM), a degenerative spine condition. They used bivariate rank order and multivariate regression analyses to assess the relationship between CSM values, participants’ characteristics, and participants’ current health values . Results : Participants were predominantly male (89.8%) and Caucasian (75.9%), with a median age of 58.3 years and a median annual income of $15,000. Median values for current health were VAS, 0.75; SG, 0.80; TTO, 0.80; and WTP, $25,000. In the multivariate analysis, higher CSM values were associated with better current health as measured with the SG, TTO, and WTP (for all ,P

Suggested Citation

  • Joseph T. King Jr. & Joel Tsevat & Mark S. Roberts, 2004. "Positive Association between Current Health and Health Values for Hypothetical Disease States," Medical Decision Making, , vol. 24(4), pages 367-378, August.
    • Handle: RePEc:sae:medema:v:24:y:2004:i:4:p:367-378
    DOI: 10.1177/0272989X04267692
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    References listed on IDEAS

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    1. Alan Diener & Bernie O'Brien & Amiram Gafni, 1998. "Health care contingent valuation studies: a review and classification of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 313-326, June.
    2. Sprangers, Mirjam A. G. & Schwartz, Carolyn E., 1999. "Integrating response shift into health-related quality of life research: a theoretical model," Social Science & Medicine, Elsevier, vol. 48(11), pages 1507-1515, June.
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    Cited by:

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    2. Samuel Shillcutt & Damian Walker & Catherine Goodman & Anne Mills, 2009. "Cost Effectiveness in Low- and Middle-Income Countries," PharmacoEconomics, Springer, vol. 27(11), pages 903-917, November.
    3. Matthias Wrede, 2005. "Health Values, Preference Inconsistency, and Insurance Demand," CESifo Working Paper Series 1634, CESifo.

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