Showing papers by "Claire Gudex published in 1996"
TL;DR: The paper shows that valuations for severe health states appear to be affected by the age and the sex of the respondent; those aged 18-59 have higher valuations than those aged 60 or over and men have highervaluations than women.
Abstract: An important consideration when establishing priorities in health care is the likely effects that alternative allocations of resources will have on health-related quality-of-life (HRQoL). This paper reports on a large-scale national study that elicited the relative valuations attached by the general public to different states of health (defined in HRQoL terms). Health state valuations were derived using the time trade-off (TTO) method. The data from 3395 respondents were highly consistent, suggesting that it is feasible to use the TTO method to elicit valuations from the general public. The paper shows that valuations for severe health states appear to be affected by the age and the sex of the respondent; those aged 18-59 have higher valuations than those aged 60 or over and men have higher valuations than women. These results contradict those reported elsewhere and suggest that the small samples used in other studies may be concealing real differences that exist between population sub-groups. This has important implications for public policy decisions.
719 citations
TL;DR: The objective of the analysis reported here has been to identify the items of the WHO questionnaire which belong to an overall index of negative and positive well-being, which may be useful as a disease-independent index of well- Being in a broad range of health care studies.
Abstract: Background: In a European trial in 8 countries, the subjective well-being of patients on alternative forms of treatment for insulin-dependent diabetes was compared using the 28-item
435 citations
TL;DR: A study which compared a "props" and a "no props" variant of each method suggested that both non props variants might be susceptable to framing effects and that TTP props outperformed SG props.
349 citations
TL;DR: Both social class and education had a significant effect, where higher median valuations were given by respondents in social classes III–V and by those with intermediate or no educational qualifications.
Abstract: In the clinical and economic evaluation of health care, the value of benefit gained should be determined from a public perspective The objective of this study was to establish relative valuations attached to different health states to form the basis for a 'social tariff' for use in quantifying patient benefit from health care Three thousand three hundred and ninety-five interviews were conducted with a representative sample of the adult British population Using the EuroQol health state classification and a visual analogue scale (VAS), each respondent valued 15 health states producing, in total, direct valuations for 45 states Two hundred and twenty-one re-interviews were conducted approximately 10 weeks later A near complete, and logically consistent, VAS data set was generated with good test-retest reliability (mean ICC = 078) Both social class and education had a significant effect, where higher median valuations were given by respondents in social classes III-V and by those with intermediate or no educational qualifications These effects were particularly noticeable for more severe states The use of such valuations in a social tariff raises important issues regarding the use of the VAS method itself to elicit valuations for hypothetical health states, the production of separate tariffs according to social class and/or education and the appropriate measure of central tendency
246 citations
TL;DR: A brief overview of issues to consider in evaluating patient benefit from health care is provided and the cost-utility approach to evaluation is discussed in more detail.
4 citations
2 citations