What is the best approach to adopt for identifying the domains for a new measure of health, social care and carer-related quality of life to measure quality-adjusted life years? Application to the development of the EQ-HWB?
In: European Journal of Health Economics, Jg. 22 (2021-09-01), Heft 7, S. 1067-1081
Online
academicJournal
Zugriff:
Economic evaluation combines costs and benefits to support decision-making when assessing new interventions using preference-based measures to measure and value benefits in health or health-related quality of life. These health-focused instruments have limited ability to capture wider impacts on informal carers or outcomes in other sectors such as social care. Sector-specific instruments can be used but this is problematic when the impact of an intervention straddles different sectors. An alternative approach is to develop a generic preference-based measure that is sufficiently broad to capture important cross-sector outcomes. We consider the options for the selection of domains for a cross-sector generic measure including how to identify domains, who should provide information on the domains and how this should be framed. Beyond domain identification, considerations of criteria and stakeholder needs are also identified. This paper sets out the case for an approach that relies on the voice of patients, social care users and informal carers as the main source of domains and describes how the approach was operationalised in the 'Extending the QALY' project which developed the new measure, the EQ-HWB (EQ health and wellbeing instrument). We conclude by discussing the strengths and limitations of this approach. The new measure should be sufficiently generic to be used to consistently evaluate health and social care interventions, yet also sensitive enough to pick up important changes in quality of life in patients, social care users and carers. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Health Economics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
What is the best approach to adopt for identifying the domains for a new measure of health, social care and carer-related quality of life to measure quality-adjusted life years? Application to the development of the EQ-HWB?
|
---|---|
Autor/in / Beteiligte Person: | Peasgood, Tessa ; Mukuria, Clara ; Carlton, Jill ; Connell, Janice ; Devlin, Nancy ; Jones, Karen ; Lovett, Rosemary ; Naidoo, Bhash ; Rand, Stacey ; Rejon-Parrilla, Juan Carlos ; Rowen, Donna ; Tsuchiya, Aki ; Brazier, John |
Link: | |
Zeitschrift: | European Journal of Health Economics, Jg. 22 (2021-09-01), Heft 7, S. 1067-1081 |
Veröffentlichung: | 2021 |
Medientyp: | academicJournal |
ISSN: | 1618-7598 (print) |
DOI: | 10.1007/s10198-021-01306-z |
Schlagwort: |
|
Sonstiges: |
|