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The Health Utilities Index (HUI®) System for Assessing Health-Related Quality of Life in Clinical Studies

Author

Listed:
  • William J Furlong
  • David H. Feeny
  • George W. Torrance
  • Ronald D. Barr

Abstract

Purpose. The paper reviews the Health Utilities Index (HUI®) as a means to describe health status and obtain utility scores reflecting health-related quality of life (HRQL). Materials. The HUI Mark 2 (HUI2) and Mark 3 (HUI3) classification and scoring systems are described. The methods used to estimate multi-attribute utility functions for HUI2 and HUI3 are reviewed. The use of HUI in clinical studies for a wide variety of conditions in a large number of countries is illustrated. Principal Findings. HUI provides a comprehensive description of the health status of subjects in clinical studies. HUI has been shown to be a reliable, responsive and valid measure in a wide variety of clinical studies. Utility scores provide an overall assessment of the HRQL of patients. Utility scores are also useful in cost-utility analyses and related studies. General population norm data are available. The widespread use of HUI facilitates the interpretation of results and permits comparisons. Conclusions. HUI is a useful tool for assessing health status and HRQL in clinical studies.

Suggested Citation

  • William J Furlong & David H. Feeny & George W. Torrance & Ronald D. Barr, 2001. "The Health Utilities Index (HUI®) System for Assessing Health-Related Quality of Life in Clinical Studies," Centre for Health Economics and Policy Analysis Working Paper Series 2001-02, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    • Handle: RePEc:hpa:wpaper:200102
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    9. Erreygers, Guido & Van Ourti, Tom, 2011. "Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice," Journal of Health Economics, Elsevier, vol. 30(4), pages 685-694, July.
    10. David Feeny, 2002. "Commentary on Jack Dowie, “Decision validity should determine whether a generic or condition‐specific HRQOL measure is used in health care decisions”," Health Economics, John Wiley & Sons, Ltd., vol. 11(1), pages 13-16, January.
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    15. David Feeny, 2012. "The Multi-attribute Utility Approach to Assessing Health-related Quality of Life," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 36, Edward Elgar Publishing.
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    17. Benjamin M. Craig & Wolfgang Greiner & Derek S. Brown & Bryce B. Reeve, 2016. "Valuation of Child Health‐Related Quality of Life in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 768-777, June.
    18. Attema, Arthur E. & Brouwer, Werner B.F. & l’Haridon, Olivier & Pinto, Jose Luis, 2016. "An elicitation of utility for quality of life under prospect theory," Journal of Health Economics, Elsevier, vol. 48(C), pages 121-134.
    19. James E. Smith & Ralph L. Keeney, 2005. "Your Money or Your Life: A Prescriptive Model for Health, Safety, and Consumption Decisions," Management Science, INFORMS, vol. 51(9), pages 1309-1325, September.
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    21. Zhijun Tan & Ying Liang & Siming Liu & Wenjun Cao & Haibo Tu & Lingxia Guo & Yongyong Xu, 2013. "Health-Related Quality of Life as Measured with EQ-5D among Populations with and without Specific Chronic Conditions: A Population-Based Survey in Shaanxi Province, China," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    22. Steven Prus, 2007. "Age, SES, and Health: A Population Level Analysis of Health Inequalities over the Life Course," Social and Economic Dimensions of an Aging Population Research Papers 181, McMaster University.
    23. Katia Noyes & Andrew W. Dick & Robert G. Holloway, 2007. "The Implications of Using US-Specific EQ-5D Preference Weights for Cost-Effectiveness Evaluation," Medical Decision Making, , vol. 27(3), pages 327-334, May.

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