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Is silence golden? A test of the incorporation of the effects of ill-health on income and leisure in health state valuations.
Journal article

Is silence golden? A test of the incorporation of the effects of ill-health on income and leisure in health state valuations.

  • Sendi P Division of Health Economics, Institute for Clinical Epidemiology, Basel University Hospital, Basel, Switzerland. psendi@uhbs.ch
  • Brouwer WB
  • 2005-01-29
Published in:
  • Health economics. - 2005
Adult
Attitude of Health Personnel
Cost of Illness
Health Status
Humans
Income
Leisure Activities
Male
Multiple Sclerosis
Pain Measurement
Quality-Adjusted Life Years
Surveys and Questionnaires
English The objective of the present study was to evaluate whether people include the effects of ill-health on income and leisure in quality of life valuation when the measure is silent on both. A convenience sample of 20 health professionals had to rate a health status on a visual analogue scale (VAS) without being explicitly asked to consider the effects of ill-health on income and leisure. A majority of respondents (60%) does not consider income effects and 75% does consider the effects on leisure. Explicitly asking respondents to incorporate these effects lowers the valuation. Our results indicate that whatever separation between costs and effects is preferred, using quality of life measures which are silent on income and leisure, leads to either double-counting or ignoring real costs or effects.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/205268
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