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Does a health crisis change how we value health?

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  • Edward J. D. Webb
  • Paul Kind
  • David Meads
  • Adam Martin

Abstract

General population health state values are used in healthcare resource allocation, including health technology assessment. We examine whether UK general population health valuations changed during the COVID‐19 pandemic. Ratings of EQ‐5D‐5L health states 11111 (no problems), 55555 (extreme problems), and dead were collected in a UK general population survey during the pandemic (April–May 2020) using the 0 = worst imaginable health, 100 = best imaginable health visual analog scale (EQ‐VAS). Ratings for 55555 were transformed to a full health = 1, dead = 0 scale. Responses were compared to similar data collected pre‐pandemic (2018). After propensity score matching to minimize sample differences, EQ‐VAS responses were analyzed using Tobit regressions. On the 0–100 scale, 11111 was rated on average 8.67 points lower, 55555 rated 9.56 points higher, and dead rated 7.45 points lower post‐pandemic onset compared to pre‐pandemic. On the full health = 1, dead = 0 scale, 55555 values were 0.09 higher post‐pandemic onset. There was evidence of differential impacts of COVID‐19 by gender, age, and ethnicity, although only age impacted values on the 1–0 scale. COVID‐19 may have affected how people value health. It is unknown whether the effect is large enough to have policy relevance, but caution should be taken in assuming pre‐COVID‐19 values are unchanged.

Suggested Citation

  • Edward J. D. Webb & Paul Kind & David Meads & Adam Martin, 2021. "Does a health crisis change how we value health?," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2547-2560, September.
  • Handle: RePEc:wly:hlthec:v:30:y:2021:i:10:p:2547-2560
    DOI: 10.1002/hec.4399
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    References listed on IDEAS

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    1. Edward J. D. Webb & John O’Dwyer & David Meads & Paul Kind & Penny Wright, 2020. "Transforming discrete choice experiment latent scale values for EQ-5D-3L using the visual analogue scale," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(5), pages 787-800, July.
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    1. Apostolos Davillas & Andrew M Jones, 2021. "The first wave of the COVID‐19 pandemic and its impact on socioeconomic inequality in psychological distress in the UK," Health Economics, John Wiley & Sons, Ltd., vol. 30(7), pages 1668-1683, July.
    2. Tenbensel, Tim & Cumming, Jacqueline & Willing, Esther, 2023. "The 2022 restructure of Aotearoa New Zealand's health system: Will it succeed in advancing equity where others have failed?," Health Policy, Elsevier, vol. 134(C).
    3. Corazza, Ilaria & Pennucci, Francesca & De Rosis, Sabina, 2021. "Promoting healthy eating habits among youth according to their preferences: Indications from a discrete choice experiment in Tuscany," Health Policy, Elsevier, vol. 125(7), pages 947-955.
    4. Edward J. D. Webb & Paul Kind & David Meads & Adam Martin, 2024. "COVID-19 and EQ-5D-5L health state valuation," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(1), pages 117-145, February.

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