Papadimitropoulos Emmanuel A, Elbarazi Iffat, Blair Iain, Katsaiti Marina-Selini, Shah Koonal K, Devlin Nancy J
Eli Lilly Canada, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada.
UAE University, Al Ain, UAE.
Value Health Reg Issues. 2015 Sep;7:34-41. doi: 10.1016/j.vhri.2015.07.002. Epub 2015 Sep 29.
No five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) value sets are currently available in the Middle East to inform decision making in the region's health care systems.
To test the feasibility of eliciting EQ-5D-5L values from a general public sample in the United Arab Emirates (UAE) using the EuroQol Group's standardized valuation protocol.
Values were elicited in face-to-face computer-assisted personal interviews. Adult Emiratis were recruited in public places. Respondents completed 10 time trade-off tasks and 7 discrete choice experiment tasks, followed by debriefing questions about their experience of completing the valuation tasks. Descriptive analyses were used to assess the face validity of the data.
Two hundred respondents were interviewed in December 2013. The face validity of the data appears to be reasonably high. Mean time trade-off values ranged from 0.81 for the mildest health state (21111) to 0.19 for the worst health state in the EQ-5D-5L descriptive system (55555). Health states were rarely valued as being worse than dead (6.2% of all observations; 10% of all valuations of 55555). In a rationality check discrete choice experiment task whereby a health state (55554) was compared with another that logically dominated it (55211), 99.5% of the respondents chose the dominant option. Most of the respondents stated that their religious beliefs influenced their responses to the valuation tasks.
Our results suggest that it is feasible to generate meaningful health-state values in the UAE, though some adaptation of the methods may be required to improve their acceptability in the UAE (and other countries with predominantly Arab and/or Muslim populations).
中东地区目前尚无五级欧洲五维健康量表（EQ - 5D - 5L）价值集可用于为该地区医疗保健系统的决策提供信息。
使用欧洲五维健康量表小组的标准化估值方案，测试从阿拉伯联合酋长国（阿联酋）的普通公众样本中获取EQ - 5D - 5L值的可行性。
通过面对面的计算机辅助个人访谈获取价值。在公共场所招募成年阿联酋人。受访者完成10项时间权衡任务和7项离散选择实验任务，随后就他们完成估值任务的体验进行汇报问题。采用描述性分析来评估数据的表面效度。
2013年12月对200名受访者进行了访谈。数据的表面效度似乎相当高。在EQ - 5D - 5L描述系统中，时间权衡值的均值范围从最轻微健康状态（21111）的0.81到最差健康状态（55555）的0.19。健康状态很少被评估为比死亡更糟（占所有观察值的6.2%；55555所有估值的10%）。在一项合理性检查的离散选择实验任务中，将一种健康状态（55554）与另一种逻辑上占优的健康状态（55211）进行比较，99.5%的受访者选择了占优选项。大多数受访者表示他们的宗教信仰影响了他们对估值任务的回答。
我们的结果表明，在阿联酋生成有意义的健康状态值是可行的，不过可能需要对方法进行一些调整，以提高其在阿联酋（以及其他主要为阿拉伯和/或穆斯林人口的国家）的可接受性。
