Health State Valuations of Patients and the General Public Analytically Compared- A Meta-Analytical Comparison of Patient and Population Health State Utilities

Mar 1, 2010, 00:00
10.1111/j.1524-4733.2009.00610.x
https://www.valueinhealthjournal.com/article/S1098-3015(10)60376-2/fulltext
Title : Health State Valuations of Patients and the General Public Analytically Compared- A Meta-Analytical Comparison of Patient and Population Health State Utilities
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(10)60376-2&doi=10.1111/j.1524-4733.2009.00610.x
First page :
Section Title :
Open access? : No
Section Order : 18

Objectives

To obtain quality-adjusted life-years, different respondent groups, such as patients or the general public, may be asked to value health states. Until now, it remains unclear if the respondent group has an influence on the values obtained. We assessed this issue through meta-analysis.

Methods

A literature search was performed for studies reporting valuations given by patients and nonpatients. Studies using indirect utility instruments were excluded.

Results

From 30 eligible studies, 40 estimators were retrieved revealing a difference between respondent group (Cohen's d = 0.20, P 0.05). When the standard gamble was used, no difference was seen (N = 24, unstandardized d = 0.01, P = 0.70).

Conclusion

In contrast with Dolders et al., our results show that patients give higher valuations than members of the general public. For future cost-utility analyses, researchers should be aware of the differential effects of respondent group for the elicitation methods TTO and VAS.

Categories :
Tags :
  • general population
  • health status
  • meta-analysis
  • patient preferences
  • utility assessment
Regions :
ViH Article Tags :