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Determinants of the acceptability of health problems in different ages: exploring a new application of the EQ VAS

Author

Listed:
  • Zsombor Zrubka

    (Corvinus University of Budapest
    Corvinus University of Budapest)

  • Zoltán Hermann

    (Hungarian Academy of Sciences
    Corvinus University of Budapest)

  • László Gulácsi

    (Corvinus University of Budapest)

  • Valentin Brodszky

    (Corvinus University of Budapest)

  • Fanni Rencz

    (Corvinus University of Budapest
    Hungarian Academy of Sciences)

  • Márta Péntek

    (Corvinus University of Budapest)

Abstract

Background We aimed to determine the acceptability of non-perfect health states with age using the EQ VAS and analyse the influencing factors. Methods We conducted a cross-sectional survey on a convenience sample from the general population (N = 200). Respondents were asked to indicate on the EQ VAS the health states that are still acceptable for ages between 30 and 80 years in 10-year intervals (VAS acceptable health curve, AHCvas). We recorded respondents’ current health, health-related lifestyle, demographic background and explored the reference person they imagined when evaluating acceptable health states. We evaluated the AHCvas by estimating linear multilevel models including a random intercept (estimated at age 30) and a random slope for age. Results AHCvas scores were available for 194 respondents (mean age = 42.8 years, range 19–93, 58% female). For ages of 30, 40, 50, 60, 70 and 80 years, mean AHCvas scores were 93, 87, 80, 73, 65 and 57, respectively. The decline of AHCvas was linear with age. Respondents’ age, health status, lifestyle and health-related experiences, as well as their reference point taken (e.g. imagining themselves, others or both during the valuation task) influenced significantly the acceptability of health problems. Conclusions When measured with the EQ VAS, health problems were increasingly acceptable with age. Capturing well the individual variability in the assessment of acceptable health states at different ages, the EQ VAS is a useful addition to EQ-5D-3L descriptive system-based measures of acceptable health.

Suggested Citation

  • Zsombor Zrubka & Zoltán Hermann & László Gulácsi & Valentin Brodszky & Fanni Rencz & Márta Péntek, 2019. "Determinants of the acceptability of health problems in different ages: exploring a new application of the EQ VAS," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 31-41, June.
    • Handle: RePEc:spr:eujhec:v:20:y:2019:i:1:d:10.1007_s10198-019-01060-3
    DOI: 10.1007/s10198-019-01060-3
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    References listed on IDEAS

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    Cited by:

    1. Arthur E. Attema & Werner B. F. Brouwer & Jose Luis Pinto‐Prades, 2022. "Reference‐dependent age weighting of quality‐adjusted life years," Health Economics, John Wiley & Sons, Ltd., vol. 31(12), pages 2515-2536, December.
    2. Zoltán Hermann & Márta Péntek & László Gulácsi & Irén Anna Kopcsóné Németh & Zsombor Zrubka, 2022. "Measuring the acceptability of EQ-5D-3L health states for different ages: a new adaptive survey methodology," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(7), pages 1243-1255, September.

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    More about this item

    Keywords

    Acceptable health states; EQ-5D-3L; EQ VAS; Priority setting;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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