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Valuing health states: the effect of duration

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  • Claire Gudex
  • Paul Dolan

Abstract

A central task in the field of health status measurement involves eliciting valuations for health states. When these valuations are then used in estimating patient benefit as part of a cost-utility analysis, a key issue is how the duration of a health state affects its value. Previous studies suggest that while people adapt to chronic illness over time there is a “maximal endurable time” beyond which the state becomes intolerable. The pilot study reported here examines the feasibility of using the visual analogue scale method to elicit within-respondent valuations for health states of different durations. It explores the hypothesis that while less severe states are seen as more acceptable the longer they last, more severe health states are seen as increasingly intolerable. 18 members of the general population ranked and rated 15 health states with durations of 1 month, 1 year and 10 years. The valuation given to a health state appeared to be a function of both its severity and its duration. The median score for a state lasting 10 years was lower when the same state lasted for 1 year or 1 month, supporting the concept of a “maximal endurable time”. Valuations for mild states did not, however, increase with duration.

Suggested Citation

  • Claire Gudex & Paul Dolan, 1995. "Valuing health states: the effect of duration," Working Papers 143chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:143chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%20143.pdf
    File Function: First version, 1995
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    References listed on IDEAS

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    Cited by:

    1. Jose-Maria Abellan-Perpiñan & Jorge-Eduardo Martinez-Perez & Jose-Luis Pinto-Prades & Fernando-Ignacio Sanchez-Martinez, 2024. "Testing Nonmonotonicity in Health Preferences," Medical Decision Making, , vol. 44(1), pages 42-52, January.
    2. N J Devlin & P Hansen & P Kind & A H Williams, 2000. "The health state preferences and logistical inconsistencies of New Zealanders: a tale of two tariffs," Working Papers 180chedp, Centre for Health Economics, University of York.
    3. Nancy J. Devlin & Paul Hansen & Paul Kind & Alan Williams, 2003. "Logical inconsistencies in survey respondents' health state valuations ‐ a methodological challenge for estimating social tariffs," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 529-544, July.
    4. Irina Cleemput, 2010. "A social preference valuations set for EQ-5D health states in Flanders, Belgium," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(2), pages 205-213, April.

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    Keywords

    health state valuation;

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