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

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 separat...

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Bibliographic Details
Published in:The European journal of health economics 2022-09, Vol.23 (7), p.1243-1255
Main Authors: Hermann, Zoltán, Péntek, Márta, Gulácsi, László, Kopcsóné Németh, Irén Anna, Zrubka, Zsombor
Format: Article
Language:English
Subjects:
Age
Economic Policy
Health Care Management
Health Economics
Health problems
Medicine
Medicine & Public Health
Original Paper
Pharmacoeconomics and Health Outcomes
Population
Public Finance
Public Health
Resource allocation
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Summary: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  
ISSN:1618-7598
1618-7601
DOI:10.1007/s10198-021-01424-8