Erasmus School of Health Policy & Management, Erasmus University Rotterdam (ESHPM), Rotterdam, the Netherlands; Erasmus Centre for Health Economics Rotterdam (EsCHER), Erasmus University Rotterdam, Rotterdam, the Netherlands; Erasmus Choice Modelling Centre (ECMC), Erasmus University Rotterdam, Rotterdam, the Netherlands.
Erasmus School of Health Policy & Management, Erasmus University Rotterdam (ESHPM), Rotterdam, the Netherlands; Erasmus Centre for Health Economics Rotterdam (EsCHER), Erasmus University Rotterdam, Rotterdam, the Netherlands; Erasmus Choice Modelling Centre (ECMC), Erasmus University Rotterdam, Rotterdam, the Netherlands.
Soc Sci Med. 2022 May;301:114901. doi: 10.1016/j.socscimed.2022.114901. Epub 2022 Mar 17.
Health economic evaluations using common health-related quality of life measures may fall short in adequately incorporating all relevant benefits of health and social care interventions targeted at older people. The Well-being of Older People measure (WOOP) is a broader well-being measure that comprises nine well-being domains. The objective of this study was to estimate a utility tariff for the WOOP, to facilitate its application in cost-utility analyses.
A discrete choice experiment (DCE) with duration approach was set up and fielded among 2,012 individuals from the Netherlands aged 65 years and above. Matched pairwise choice tasks, colour-coding and level overlap were used to reduce the cognitive burden of the DCE. The choice tasks were created using a Bayesian heterogeneous D-efficient design. The estimation procedure accommodated for nonlinear time preferences via an exponential discounting function.
The estimation results showed that 'physical health', 'mental health', and 'making ends meet' were the most important well-being domains for older people, followed by 'independence' and 'living situation'. Of somewhat lesser importance were domains like 'social life', 'receiving support' and 'feeling useful'. The generated utility tariffs can be used to translate well-being states described with the WOOP to a utility score between -0.616 and 1.
This study established a tariff for the WOOP, which will facilitate its use in economic evaluations of health and social care interventions targeted at older people, first of all in the Netherlands.
使用常见的与健康相关的生活质量衡量标准进行健康经济评估，可能无法充分纳入针对老年人的卫生和社会保健干预措施的所有相关收益。福祉老年人衡量标准（WOOP）是一个更广泛的福祉衡量标准，包括九个福祉领域。本研究的目的是为 WOOP 制定效用关税，以促进其在成本效用分析中的应用。
建立了一个具有持续方法的离散选择实验（DCE），并在荷兰年龄在 65 岁及以上的 2012 名个体中进行了调查。使用匹配的成对选择任务、颜色编码和水平重叠来减轻 DCE 的认知负担。使用贝叶斯异质 D 有效设计创建选择任务。估计过程通过指数贴现函数来适应非线性时间偏好。
估计结果表明，“身体健康”、“心理健康”和“收支平衡”是老年人最重要的福祉领域，其次是“独立”和“生活状况”。稍微次要的领域包括“社交生活”、“获得支持”和“感觉有用”。生成的效用关税可用于将 WOOP 描述的福祉状态转换为 -0.616 至 1 之间的效用得分。
本研究为 WOOP 制定了一个关税，这将促进其在针对老年人的卫生和社会保健干预措施的经济评估中的使用，首先是在荷兰。
