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The European Journal of Health Economics
Published in: The European Journal of Health Economics 8/2015

01-11-2015 | Original Paper

Do Chinese have similar health-state preferences? A comparison of mainland Chinese and Singaporean Chinese

Authors: P. Wang, M. H. Li, G. G. Liu, J. Thumboo, N. Luo

Published in: The European Journal of Health Economics | Issue 8/2015

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Abstract

Background

Little is known about whether health-state preferences differ among Chinese populations. This study compared the preference values for EQ-5D-5L health states between mainland Chinese and Singaporean Chinese.

Methods

The preference values for ten EQ-5D-5L health states were elicited from general population samples of mainland Chinese and Singaporeans. In computer-assisted self-interviews, each participant completed five time trade-off (TTO) tasks to value five different EQ-5D-5L health states. The difference in TTO values between mainland Chinese and Singaporean Chinese was examined using random-effects linear regression and logistic regression models.

Results

A total of 194 eligible mainland Chinese and 145 eligible Singaporean Chinese provided data for this study. All ten health states considered, the mean TTO value was 0.18 for Singaporean Chinese and 0.35 for mainland Chinese, with the unadjusted and adjusted difference [95 % confidence interval (CI)] being −0.17 (−0.28, −0.07) and −0.16 (−0.27, −0.05). Singaporean Chinese had substantially lower TTO values than mainland Chinese for states with severe or extreme problems, with the adjusted difference being −0.30 (95 % CI −0.42, −0.17). On the other hand, Singaporean Chinese and mainland Chinese had similar TTO values for states with mild or moderate problems, with the adjusted (95 % CI) difference being 0.04 (−0.07, 0.15). Logistic regression analysis showed that Singaporean Chinese were more likely to rate health states with severe or extreme problems as worse than death compared to mainland Chinese.

Conclusions

Mainland Chinese and Singaporean Chinese have different preferences for EQ-5D-5L health states, supporting the development of local value sets for the EQ-5D-5L instrument for the two populations.
Literature
1.
Bloom, B.S.: Use of formal benefit/cost evaluations in health system decision making. Am. J. Manag Care 10(5), 329–335 (2004)PubMed
2.
Gold, M.R., Siegel, J.E., Russell, L.B., Weinstein, M.C.: Cost-effectiveness in health and medicine. Oxford University Press, Oxford (1996)
3.
4.
Drummond, M.F., Sculpher, M.J., Torrance, G.W., O’Brien, B.J., Stoddart, G.L.: Methods for the economic evaluation of health care programmes, 3rd edn. Oxford University Press, New York (2005)
5.
6.
Feeny, D.H., Furlong, W.J., Torrance, G.W., Goldsmith, C.H., Zhu, Z., DePauw, S., Denton, M.: Multi-attribute and single attribute utility functions for the Health Utilities Index Mark 3 system. Med. Care 40(2), 113–128 (2002)CrossRefPubMed
7.
Brazier, J.E., Roberts, J., Deverill, M.D.: The estimation of a preference-based measure of health from the SF-36. J. Health Econ. 21(2), 271–292 (2002)CrossRefPubMed
8.
Torrance, G.W.: Measurement of health state utilities for economic appraisal. J. Health Econ. 5(1), 1–30 (1986)CrossRefPubMed
9.
Torrance, G.W., Thomas, W.H., Sackett, D.L.: A utility maximization model for evaluation of health care programs. Health Serv. Res. 7(2), 118–133 (1972)PubMedCentralPubMed
10.
Wisloff, T., Hagen, G., Hamidi, V., Movik, E., Klemp, M., Olsen, J.A.: Estimating QALY gains in applied studies: a review of cost-utility analyses published in 2010. Pharmacoeconomics 32(4), 367–375 (2014)PubMedCentralCrossRefPubMed
11.
Baida, X., Roset, M., Herdman, M., Kind, P.: A comparison of United Kingdom and Spanish general population time trade-off values for EQ-5D health states. Med. Decis. Making 21(1), 7–16 (2001)CrossRef
12.
Luo, N., Johnson, J.A., Shaw, J.W., Coons, S.J.: A comparison of EQ-5D index scores derived from the US and UK population-based scoring functions. Med. Decis. Making 27(3), 321–326 (2007)CrossRef
13.
Wang, Q., Furlong, W., Feeny, D., Torrance, G.W., Barr, R.: How robust is the Health Utilities Index Mark 2 utility function? Med. Decis. Making 22(4), 350–358 (2002)CrossRefPubMed
14.
Norman, R., Cronin, P., Viney, R., King, M., Street, D., Ratcliffe, J.: International comparisons in valuing EQ-5D health states: a review and analysis. Value Health 12(8), 1194–1200 (2009)CrossRefPubMed
15.
Tsuchiya, A., Ikeda, S., Ikegami, N., Nishimura, S., Sakai, I., Fukuda, T., Hamashima, C., Hisashige, A., Tamura, M.: Estimating an EQ-5D population value set: the case of Japan. Health Econ. 11(4), 341–353 (2002)CrossRefPubMed
16.
Johnson, J.A., Luo, N., Shaw, J.W., Kind, P., Coons, S.J.: Valuations of EQ-5D health states: are the United States and United Kingdom different? Med. Care 43(3), 221–228 (2005)CrossRefPubMed
17.
Dolan, P., Gudex, C., Kind, P., Williams, A.: Valuing health states: a comparison of methods. J. Health Econ. 15(2), 209–231 (1996)CrossRefPubMed
18.
19.
Oppe, M., Devlin, N.J., van Hout, B., Krabbe, P.F.M., de Charro, F.: A program of methodological research to arrive at the new international EQ-5D-5L valuation protocol. Value Health 17(4), 445–453 (2014)CrossRefPubMed
20.
21.
Luo, N., Li, M., Stolk, E.A., Devlin, N.J.: The effects of lead time and visual aids in TTO valuations: a study of the EQ-VT framework. Eur. J. Health Econ. 14, S15–S24 (2013)CrossRefPubMed
22.
23.
24.
Augestad, L.A., Rand-Hendriksen, K., Stavem, K., Kristiansen, I.S.: Time trade-off and attitudes toward euthanasia: implications of using ‘death’ as an anchor in health state valuation. Qual. Life Res. 22(4), 705–714 (2013)CrossRefPubMed
25.
26.
27.
Wee, H.L., Li, S.C., Xie, F., Zhang, X.H., Luo, N., Cheung, Y.B., Machin, D., Fong, K.Y., Thumboo, J.: Are Asians comfortable with discussing death in health valuation studies? A study in multi-ethnic Singapore. Health Qual Life Outcomes. 4, 93 (2006)PubMedCentralCrossRefPubMed
28.
Johnson, J.A., Ohinmaa, A., Murti, B., Sintonen, H., Coons, S.J.: Comparison of Finnish and U.S.-based visual analog scale valuations of the EQ-5D measure. Med. Decis. Making 20(3), 281–289 (2000)CrossRefPubMed
29.
30.
Luo, N., Wang, P., Thumboo, J., Lim, Y.W., Vrijhoef, H.J.: Valuation of EQ-5D-3L health states in Singapore: modeling of time trade-off values for 80 empirically observed health states. Pharmacoeconomics 30(5), 495–507 (2014)CrossRef
31.
Liu, G., Wu, H., Li, M., Gao, C., Luo, N.: Chinese time trade-off values for EQ-5D health states. Value Health (2014, in press)
32.
Devlin, N.J., Buckingham, K., Shah, K., Tsuchiya, A., Tilling, C., Wilkinson, G., van Hout, B.: A comparison of alternative variants of the lead and lag time TTO. Health Econ. 22(5), 517–532 (2013)CrossRefPubMed
Metadata
Title
Do Chinese have similar health-state preferences? A comparison of mainland Chinese and Singaporean Chinese
Authors
P. Wang
M. H. Li
G. G. Liu
J. Thumboo
N. Luo
Publication date
01-11-2015
Publisher
Springer Berlin Heidelberg
Published in
The European Journal of Health Economics / Issue 8/2015
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-014-0635-z

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