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Measuring the acceptability of EQ-5D-3L health states for different ages: a new adaptive survey methodology

Author

Listed:
  • Zoltán Hermann

    (Institute of Economics, Centre for Economic and Regional Studies
    Institute of Economics, Corvinus University of Budapest)

  • Márta Péntek

    (Óbuda University)

  • László Gulácsi

    (Óbuda University
    Corvinus Institute for Advanced Studies, Corvinus University of Budapest)

  • Irén Anna Kopcsóné Németh

    (Hungarian Defence Forces)

  • Zsombor Zrubka

    (Óbuda University
    Corvinus Institute for Advanced Studies, Corvinus University of Budapest)

Abstract

Background Acceptable health and sufficientarianism are emerging concepts in health resource allocation. We defined acceptability as the proportion of the general population who consider a health state acceptable for a given age. Previous studies surveyed the acceptability of health problems separately per EQ-5D-3L domain, while the acceptability of health states with co-occurring problems was barely explored. Objective To quantify the acceptability of 243 EQ-5D-3L health states for six ages from 30 to 80 years: 1458 health state–age combinations (HAcs), denoted as the acceptability set of EQ-5D-3L. Methods In 2019, an online representative survey was conducted in the Hungarian general population. We developed a novel adaptive survey algorithm and a matching statistical measurement model. The acceptability of problems was evaluated separately per EQ-5D-3L domain, followed by joint evaluation of up to 15 HAcs. The selection of HAcs depended on respondents’ previous responses. We used an empirical Bayes measurement model to estimate the full acceptability set. Results 1375 respondents (female: 50.7%) were included with mean (SD) age of 46.7 (14.6) years. We demonstrated that single problems that were acceptable separately for a given age were less acceptable when co-occurring jointly (p

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  • 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.
    • Handle: RePEc:spr:eujhec:v:23:y:2022:i:7:d:10.1007_s10198-021-01424-8
    DOI: 10.1007/s10198-021-01424-8
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