Zusammenfassung.
Die Erhebung von Nutzwerten zur Beurteilung klinischer Erfolge ist ein wesentlicher Bestandteil von gesundheitsökonomischen Evaluierungen. Der Artikel gibt eine Übersicht über die verschiedenen Methoden der direkten Erhebung von Nutzwerten wie Standard Gamble, Time Trade-Off und Rating Scale. Die Methodik der indirekten Erhebung von Nutzwerten sowie die drei gebräuchlichsten Fragebögen, der Health Utilities Index 3, der EQ-5D und der SF-6D, werden beschrieben. Es wird diskutiert, wofür Nutzwerte wichtig sind und welche Vor- und Nachteile bei der Wahl eines bestimmten Erhebungsverfahrens berücksichtigt werden müssen.
Summary.
Assessment of strength of preference values (utilities) for patients’ own health, or disease states from a societal perspective, is an essential element to economic evaluations of healthcare interventions. This review provides an overview of the different methods used to directly elicit strength of preference values: the standard gamble, time trade-off and rating scale methods. Methods used to derive utilities for patients’ health states indirectly, and from a societal perspective are described. Three commonly used questionnaires: Health Utilities Index 3, EQ-5D and SF-6D are briefly commented upon. We also discuss the usefulness of utilities and advantages and disadvantages to be considered when choosing direct or indirect utility elicitation methods.
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Maetzel, A. Der Gebrauch von Nutzwerten im gesundheitsökonomischen Vergleich von Interventionen bei verschiedenen Krankheitsbildern. Z Rheumatol 63, 380–384 (2004). https://doi.org/10.1007/s00393-004-0658-4
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DOI: https://doi.org/10.1007/s00393-004-0658-4