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Valuing the EQ-5D and the SF-6D health states using subjective well-being: A secondary analysis of patient data

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  • Mukuria, Clara
  • Brazier, John

Abstract

The economic evaluation of health care technologies employs a standard economic approach based on preferences to provide utility information. Previous studies have used happiness rather than preferences to weight health states using general population data. However, these data may not reflect the full range and scope of health and happiness experienced by patients. This paper applies a similar approach to a large patient sample (N = 15,184) from a hospital in Wales, UK collected between 2002 and 2004. Logit regression models were used to assess the relationship between happiness and the health state classifications of two measures, the EQ-5D and the SF-6D. The results suggest a different weighting across dimensions to that from preference elicitation techniques such as time trade-off and standard gamble. While mental health (depression and anxiety), vitality and social functioning were found to have a large significant association with the patients' own happiness assessment, pain was less so and physical health had no association.

Suggested Citation

  • Mukuria, Clara & Brazier, John, 2013. "Valuing the EQ-5D and the SF-6D health states using subjective well-being: A secondary analysis of patient data," Social Science & Medicine, Elsevier, vol. 77(C), pages 97-105.
    • Handle: RePEc:eee:socmed:v:77:y:2013:i:c:p:97-105
    DOI: 10.1016/j.socscimed.2012.11.012
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    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. #HEJC for 04/02/2013
      by academichealtheconomists in The Academic Health Economists' Blog on 2013-01-28 21:07:24

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    2. Dolan, Paul & Kavetsos, Georgios & Tsuchiya, Aki, 2013. "Sick but satisfied: The impact of life and health satisfaction on choice between health scenarios," Journal of Health Economics, Elsevier, vol. 32(4), pages 708-714.
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    4. H. Nicolás Acosta-González & Oscar D. Marcenaro-Gutiérrez, 2021. "The Relationship Between Subjective Well-Being and Self-Reported Health: Evidence from Ecuador," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(5), pages 1961-1981, October.
    5. Bussière, Clémence & Sirven, Nicolas & Tessier, Philippe, 2021. "Does ageing alter the contribution of health to subjective well-being?," Social Science & Medicine, Elsevier, vol. 268(C).
    6. Philippe Tessier & Josselin Thuilliez, 2018. "Does freedom make a difference?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(8), pages 1189-1205, November.
    7. Tessier, Philippe & Blanchin, Myriam & Sébille, Véronique, 2017. "Does the relationship between health-related quality of life and subjective well-being change over time? An exploratory study among breast cancer patients," Social Science & Medicine, Elsevier, vol. 174(C), pages 96-103.
    8. Hernández-Alava, Mónica & Sampson, Christopher & Wailoo, Allan, 2013. "Happy and healthy: a joint model of health and life satisfaction," MPRA Paper 49766, University Library of Munich, Germany.
    9. Karimi, M. & Brazier, J. & Paisley, S., 2017. "How do individuals value health states? A qualitative investigation," Social Science & Medicine, Elsevier, vol. 172(C), pages 80-88.
    10. John Brazier & Donna Rowen & Milad Karimi & Tessa Peasgood & Aki Tsuchiya & Julie Ratcliffe, 2018. "Experience-based utility and own health state valuation for a health state classification system: why and how to do it," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 881-891, July.
    11. Engel, Lidia & Bryan, Stirling & Noonan, Vanessa K. & Whitehurst, David G.T., 2018. "Using path analysis to investigate the relationships between standardized instruments that measure health-related quality of life, capability wellbeing and subjective wellbeing: An application in the ," Social Science & Medicine, Elsevier, vol. 213(C), pages 154-164.
    12. Magdalena Muszyńska-Spielauer & Marc Luy, 2022. "Well-Being Adjusted Health Expectancy: A New Summary Measure of Population Health," European Journal of Population, Springer;European Association for Population Studies, vol. 38(5), pages 1009-1031, December.
    13. Ferrari, Giulia & Torres-Rueda, Sergio & Michaels-Igbokwe, Christine & Watts, Charlotte & Jewkes, Rachel & Vassall, Anna, 2019. "Economic evaluation of public health interventions: an application to interventions for the prevention of violence against women and girls implemented by the “what works to prevent violence against wo," LSE Research Online Documents on Economics 103639, London School of Economics and Political Science, LSE Library.
    14. Fabio Zagonari, 2016. "Which Attitudes Will Make us Individually and Socially Happier and Healthier? A Cross-Culture and Cross-Development Analytical Model," Journal of Happiness Studies, Springer, vol. 17(6), pages 2527-2554, December.
    15. Au, Nicole & Johnston, David W., 2014. "Self-assessed health: What does it mean and what does it hide?," Social Science & Medicine, Elsevier, vol. 121(C), pages 21-28.

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