Measuring Health State Values in Developing Countries: Report of a study in Andhra Pradesh, India.
Authors: Prasanta Mahapatra, Joshua A. Salomon, Lipika Nanda & K.T. Rajashree.
Publication Year: 2001
About the report:
Valuation of health states by the general population is being attempted recently. Most of these studies have been in fully literate societies in the economically developed countries. For example, in Canada by Sacckett and Torrance (1978), UK (Gudex and others, 1996). Because population-based empirical assessments of health states are extremely limited, new surveys are needed. A study was conducted in Andhra Pradesh, by the Institute of Health Systems (IHS) to measure peoples preferences about various health states. To the best of our knowledge, this is the first community based health state valuation study in the developing world. Two distinct sources of assessment were made. First arm of the study consisted of a series of multi method health state valuation workshops for educated persons from different backgrounds. Participants of these workshops, valued health states using more than one procedure including, card sort, visual analogue scale, time trade-off, and person trade-off methods. Second arm of the study involved measurement of valuations given by general population drawn from a rural area. This was done by household surveys in a selected village in Ranga Reddy district. Respondents in the survey were requested to give their valuations using card sort followed by visual analogue scales. The study was conducted in the year 1999 and was funded by the WHO - Global Program on Evidence for Policy (GPE).
Broad goals of this study were;
- To strengthen the methodological foundation for population based measurement of health state weights. In addition valuation protocols must be adapted for use in partly literate populations like that in India.
- To measure local preferences for health states to be used for estimation of national and state burden of disease in India.
- To understand the nature health state valuation function in people's mind and its implications for summary measures of population health status.
Download Full Report - pfd: 4.9 MB.
Contents.
Appendices: Pages A1 to A64.
| Ch | Appendix Title | Page | View⤓ | MB |
|---|---|---|---|---|
| 2 | Appendix-2: APHSV99 Data Set - Explanatory Notes | A1 | 👁 | 0.2 |
| 3 | Appendix-3.1: 6D5L Health State Description System | A12 | 👁 | 3.0 |
| 3 | Appendix-3.2: Labels Used in MDHSV Workshops and Household Survey. | A15 | 👁 | 3.0 |
| 3 | Appendix-3.3: Long labels of health states, English and Telugu. | A17 | 👁 | 3.0 |
| 3 | Appendix-3.4: 6D5L Health state description system in Telugu. | A18 | 👁 | 3.0 |
| 3 | Appendix-3.5: 6D5L Graphical Health State Description System. | A20 | 👁 | 3.0 |
| 3 | Appendix-3.6: Artists brief to design pictorial representations of health dimensions. | A27 | 👁 | 3.0 |
| 3 | Appendix-3.7: Health state description workshop - proceedings. | A28 | 👁 | 3.0 |
| 3 | Appendix-3.7a: General guidelines to participants for the health state description workshop. | A31 | 👁 | 3.0 |
| 3 | Appendix-3.7b: The EuroQol Instrument - An overview. | A33 | 👁 | 3.0 |
| 3 | Appendix-3.8: Table-3.1: Identification of 6D5L profiles: Provisional, panel recommended and final. | A36 | 👁 | 3.0 |
| 4 | Appendix-4.1: Your Health State Today. | A38 | 👁 | 0.3 |
| 4 | Appendix-4.2: Card Sort and Visual Analogue Scale: Instructions for health state valuation exercises. | A39 | 👁 | 0.3 |
| 4 | Appendix-4.3: Card Sorting Log. | A40 | 👁 | 0.3 |
| 4 | Appendix-4.4: Respondent Comments, Valuation workshops. | A41 | 👁 | 0.3 |
| 4 | Appendix-4.5: Health state valuation workshop: General guidelines to participants. | A42 | 👁 | 0.3 |
| 4 | Appendix-4.6: HSV-DEDIT Data Entry Template - User manual. | A43 | 👁 | 0.3 |
| 4 | Appendix-4.7: TTO Worksheet User manual. | A52 | 👁 | 0.3 |
| 4 | Appendix-4.8: PTO Worksheet User manual. | A53 | 👁 | 0.3 |
| 5 | Appendix-5.1: AP Health State Valuation Study 1999 - Manual for Surveyors. | A54 | 👁 | 0.2 |
| 5 | Appendix-5.2: Valuer’s Personal Information. | A57 | 👁 | 0.2 |
| 5 | Appendix-5.3: Valuer’s Personal Information in Telugu. | A59 | 👁 | 0.2 |
| 5 | Appendix-5.4: Comments by the valuer for health states to be captured in this sheet. | A61 | 👁 | 0.2 |
| 5 | Appendix-5.5: Interviewer Observations and Report, HSV Household Survey (IOR). | A63 | 👁 | 0.2 |
| 5 | Appendix-5.6: Summary of comments about specific health states from valuers in the household survey. | A64 | 👁 | 0.2 |
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Accompanying media, data set and worksheet files.
| Sl | Media Description | Ref. in Book | Dnld ⤓ | MB |
|---|---|---|---|---|
| APHSV99 Data Set (Zip file) | Explanatory note in Appendix-2. | ⤓ | 0.2 | |
| Picture elements for Mobility Dimension. | Ch-3 6D5L description system. | ⤓ | 2.9 | |
| Picture elements for Self-Care Dimension. | Ch-3 6D5L description system. | ⤓ | 0.9 | |
| Picture elements for Usual Activities Dimension. | Ch-3 6D5L description system. | ⤓ | 1.1 | |
| Picture elements for Pain Dimension. | Ch-3 6D5L description system. | ⤓ | 1.9 | |
| Picture elements for Anxiety - Depression Dimension. | Ch-3 6D5L description system. | ⤓ | 0.6 | |
| Picture elements for Cognition Dimension. | Ch-3 6D5L description system. | ⤓ | 4.0 | |
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