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Measuring concerns for severity: Re-examination of a health scale with purported equal interval properties

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  • Nord, Erik
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    Abstract

    Severity of illness is an important official criterion for priority setting in health care in a number of jurisdictions. An 8-point scale of severity and functional status has been used in a number of studies in Norway in order to estimate the strength of concerns for severity in population samples. The scale has attracted international attention and may be of interest to researchers in other countries. For confidence in interpretations of results, the scale should have equal interval properties with respect to individual utility. Close examination suggest that some deviations from equal intervals occur. These deviations do not impact significantly on earlier findings and do not prevent the scale from being a potentially useful tool in future studies of the strength of societal concerns for fairness in health care. However, further research with larger and more representative samples is encouraged.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0168851012000632
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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 105 (2012)
    Issue (Month): 2 ()
    Pages: 312-316

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    Handle: RePEc:eee:hepoli:v:105:y:2012:i:2:p:312-316

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    Web page: http://www.elsevier.com/locate/healthpol

    Related research

    Keywords: Priority setting; Economic evaluation; QALY; Equity; Severity; Interval scale;

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    1. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39.
    2. Parkin, D. & Devlin, N., 2004. "Is there a case for using Visual Analogue Scale valuations in Cost-Utility Analysis?," Working Papers 04/03, Department of Economics, City University London.
    3. Erik Nord & Anja Undrum Enge & Veronica Gundersen, 2010. "QALYs: is the value of treatment proportional to the size of the health gain?," Health Economics, John Wiley & Sons, Ltd., vol. 19(5), pages 596-607.
    4. Paul Dolan & Rebecca Shaw & Aki Tsuchiya & Alan Williams, 2005. "QALY maximisation and people's preferences: a methodological review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 14(2), pages 197-208.
    5. Shah, Koonal K., 2009. "Severity of illness and priority setting in healthcare: A review of the literature," Health Policy, Elsevier, vol. 93(2-3), pages 77-84, December.
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