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EQ-5D and the EuroQol Group: Past, Present and Future


  • Nancy J. Devlin

    () (Office of Health Economics)

  • Richard Brooks

    (EuroQol Group)


Abstract Over the period 1987–1991 an inter-disciplinary five-country group developed the EuroQol instrument, a five-dimensional three-level generic measure subsequently termed the ‘EQ-5D’. It was designed to measure and value health status. The salient features of its development and its consolidation and expansion are discussed. Initial expansion came, in particular, in the form of new language versions. Their development raised translation and semantic issues, experience with which helped feed into the design of two further instruments, the EQ-5D-5L and the youth version EQ-5D-Y. The expanded usage across clinical programmes, disease and condition areas, population surveys, patient-reported outcomes, and value sets is outlined. Valuation has been of continued relevance for the Group as this has allowed its instruments to be utilised as part of the economic appraisal of health programmes and their incorporation into health technology assessments. The future of the Group is considered in the context of: (1) its scientific strategy, (2) changes in the external environment affecting the demand for EQ-5D, and (3) a variety of issues it is facing in the context of the design of the instrument, its use in health technology assessment, and potential new uses for EQ-5D outside of clinical trials and technology appraisal.

Suggested Citation

  • Nancy J. Devlin & Richard Brooks, 2017. "EQ-5D and the EuroQol Group: Past, Present and Future," Applied Health Economics and Health Policy, Springer, vol. 15(2), pages 127-137, April.
  • Handle: RePEc:spr:aphecp:v:15:y:2017:i:2:d:10.1007_s40258-017-0310-5
    DOI: 10.1007/s40258-017-0310-5

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    References listed on IDEAS

    1. Jon Sussex & Adrian Towse & Nancy Devlin, 2013. "Operationalizing Value-Based Pricing of Medicines," PharmacoEconomics, Springer, vol. 31(1), pages 1-10, January.
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    Cited by:

    1. Towse, A. & Garau, M., 2018. "Appraising Ultra-Orphan Drugs: Is Cost-Per-QALY Appropriate? A Review of the Evidence," Consulting Reports 001978, Office of Health Economics.
    2. repec:spr:pharme:v:36:y:2018:i:6:d:10.1007_s40273-018-0642-5 is not listed on IDEAS
    3. repec:spr:pharmo:v:2:y:2018:i:3:d:10.1007_s41669-018-0083-2 is not listed on IDEAS
    4. repec:spr:eujhec:v:20:y:2019:i:2:d:10.1007_s10198-018-0993-z is not listed on IDEAS


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