Abstract
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Health Economics |
| Vol/bind | 12 |
| Udgave nummer | 8 |
| Sider (fra-til) | 637-54 |
| Antal sider | 17 |
| ISSN | 1057-9230 |
| DOI | |
| Status | Udgivet - 2003 |
Bibliografisk note
Copyright 2002 John Wiley & Sons, Ltd.Adgang til dokumentet
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The value of the change in health in Sweden 1980/81 to 1996/97. / Burström, Kristina; Johannesson, Magnus; Diderichsen, Finn.
I: Health Economics, Bind 12, Nr. 8, 2003, s. 637-54.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - The value of the change in health in Sweden 1980/81 to 1996/97
AU - Burström, Kristina
AU - Johannesson, Magnus
AU - Diderichsen, Finn
N1 - Keywords: Adolescent; Adult; Aged; Female; Health Status Indicators; Health Surveys; Humans; Infant, Newborn; Life Expectancy; Male; Middle Aged; Quality-Adjusted Life Years; Socioeconomic Factors; Survival Analysis; Sweden
PY - 2003
Y1 - 2003
N2 - 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 dollars. 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 dollars) among males and a loss by 0.58 QALYs (58,000 dollars) among females. The corresponding gain in discounted QALYs for a 75-year-old was 1.15 (115,000 dollars) and 0.80 (80,000 dollars), 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.
AB - 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 dollars. 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 dollars) among males and a loss by 0.58 QALYs (58,000 dollars) among females. The corresponding gain in discounted QALYs for a 75-year-old was 1.15 (115,000 dollars) and 0.80 (80,000 dollars), 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.
U2 - 10.1002/hec.754
DO - 10.1002/hec.754
M3 - Journal article
C2 - 12898662
VL - 12
SP - 637
EP - 654
JO - Health Economics
JF - Health Economics
SN - 1057-9230
IS - 8
ER -