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  1. Social evaluation of health care versus personal evaluation of health states: evidence on the validity of four health-state scaling instruments using Norwegian and Australian surveys.

    Article - En anglais

    In most of the cost-utility literature, quality-adjusted life-year (QALY) gains are interpreted as a measure of social value.

    Given this interpretation, the validity of different multi-attribute health-state scaling instruments may be tested by comparing the values they provide on the 0-1 QALY scale with directly elicited preferences for person trade-offs between different treatments (equivalence of numbers of different patients treated).

    Norwegian and Australian public preferences as measured by the person trade-off suggest that the EuroQol Instrument assigns excessively low values to health states.

    This seems to be even more true of the McMaster Health Classification System.

    The Quality of Well-being Scale appears to compress states toward the middle of the 0-1 scale.

    By contrast, the Rosser/Kind index fits reasonably well with directly measured person trade-off data.

    Mots-clés Pascal : Survie, Qualité vie, Méthode mesure, Etat sanitaire, Homme, Echelle évaluation, Etude comparative, Validation test, Norvège, Australie, Economie santé, Analyse coût efficacité, QALY, Europe, Océanie

    Mots-clés Pascal anglais : Survival, Quality of life, Measurement method, Health status, Human, Evaluation scale, Comparative study, Test validation, Norway, Australia, Health economy, Cost efficiency analysis, Europe, Oceania

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0124078

    Code Inist : 002B30A01C. Création : 199406.