The value of the change in health in Sweden 1980|81 to 1996|97
The study aimed to estimate the value of the change in health in Sweden 1980|81 to 1996|97. Quality-adjusted life years (QALYs) for men and women at specific ages were estimated for 1980|81, 1988|89 and 1996|97, by combining survival rates and health state scores. Data from the Swedish Survey of Living Conditions (n=39 966) were used to estimate age-specific health state scores. Responses to selected survey questions were mapped into the EQ-5D measure, using the UK EQ-5D index tariff to derive health state scores. The monetary value of a QALY was assumed to be $100 000. Life expectancy for infants increased by 3.68 years for males and 2.70 years for females between 1980|81 and 1996|97. Average health status decreased in younger age groups whereas it increased in older age groups. Expected QALYs for infants increased by 2.64 for males and 0.54 for females. With 3% discounting the gain was 0.11 QALYs ($11 000) among males and a loss by 0.58 QALYs ($58 000) among females. The corresponding gain in discounted QALYs for a 75-year-old was 1.15 ($115 000) and 0.80 ($80 000), respectively. It is concluded that older persons have experienced considerable health gains whereas the health gains have been small or non-existent for younger women. Copyright © 2002 John Wiley & Sons, Ltd.
Volume (Year): 12 (2003)
Issue (Month): 8 ()
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