Hans-Helmut König1. 1. Stiftungsprofessur für Gesundheitsökonomie, Klinik und Poliklinik für Psychiatrie, Universität Leipzig. hans-helmut.koenig@medizin.uni-leipzig.de
Abstract
OBJECTIVE: Economic evaluation of health care interventions may require preference-based valuations of health outcomes or health effects. This paper provides an overview of the use of standard gamble (SG), time trade-off (TTO) and contingent valuation (CV) to elicit preferences of patients with depression or schizophrenia. METHODS: A systematic search of the literature was conducted covering the use of SG, TTO and CV in patients with depression or schizophrenia. Practicability, measurement results, construct and concurrent validity as well as test-retest-reliability formed the criteria for reviewing the performance of these measures of preference. RESULTS: SG, TTO and CV were rarely used in the two diagnostic groups considered. The reviewed studies mostly showed good practicability as well as some evidence for validity and reliability. Measured SG und TTO values point to substantial losses in utility caused by these diseases. CONCLUSIONS: Elicitation of patient preferences for the economic evaluation of mental health care seems possible.
OBJECTIVE: Economic evaluation of health care interventions may require preference-based valuations of health outcomes or health effects. This paper provides an overview of the use of standard gamble (SG), time trade-off (TTO) and contingent valuation (CV) to elicit preferences of patients with depression or schizophrenia. METHODS: A systematic search of the literature was conducted covering the use of SG, TTO and CV in patients with depression or schizophrenia. Practicability, measurement results, construct and concurrent validity as well as test-retest-reliability formed the criteria for reviewing the performance of these measures of preference. RESULTS: SG, TTO and CV were rarely used in the two diagnostic groups considered. The reviewed studies mostly showed good practicability as well as some evidence for validity and reliability. Measured SG und TTO values point to substantial losses in utility caused by these diseases. CONCLUSIONS: Elicitation of patient preferences for the economic evaluation of mental health care seems possible.