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Applied Health Economics and Health Policy
Erschienen in: Applied Health Economics and Health Policy 6/2019

01.12.2019 | Review Article

A Review of the Development and Application of Generic Preference-Based Instruments with the Older Population

verfasst von: Jenny Cleland, Claire Hutchinson, Jyoti Khadka, Rachel Milte, Julie Ratcliffe

Erschienen in: Applied Health Economics and Health Policy | Ausgabe 6/2019

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Abstract

Older people (aged 65 years and over) are the fastest growing age cohort in the majority of developed countries, and the proportion of individuals defined as the oldest old (aged 80 years and over) living with physical frailty and cognitive impairment is rising. These population changes put increasing pressure on health and aged care services, thus it is important to assess the cost effectiveness of interventions targeted for older people across health and aged care sectors to identify interventions with the strongest capacity to enhance older peoples’ quality of life and provide value for money. Cost-utility analysis (CUA) is a form of economic evaluation that typically uses preference-based instruments to measure and value health-related quality of life for the calculation of quality-adjusted life-years (QALYS) to enable comparisons of the cost effectiveness of different interventions. A variety of generic preference-based instruments have been used to measure older people’s quality of life, including the Adult Social Care Outcomes Toolkit (ASCOT); Health Utility Index Mark 2 (HUI2); Health Utility Index Mark 3 (HUI3); Short-Form-6 Dimensions (SF-6D); Assessment of Quality of Life-6 dimensions (AQoL-6D); Assessment of Quality of Life-8 dimensions (AQoL-8D); Quality of Wellbeing Scale-Self-Administered (QWB-SA); 15 Dimensions (15D); EuroQol-5 dimensions (EQ-5D); and an older person specific preference-based instrument—the Investigating Choice Experiments Capability Measure for older people (ICECAP-O). This article reviews the development and application of these instruments within the older population and discusses the issues surrounding their use with this population. Areas for further research relating to the development and application of generic preference-based instruments with populations of older people are also highlighted.
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Metadaten
Titel
A Review of the Development and Application of Generic Preference-Based Instruments with the Older Population
verfasst von
Jenny Cleland
Claire Hutchinson
Jyoti Khadka
Rachel Milte
Julie Ratcliffe
Publikationsdatum
01.12.2019
Verlag
Springer International Publishing
Erschienen in
Applied Health Economics and Health Policy / Ausgabe 6/2019
Print ISSN: 1175-5652
Elektronische ISSN: 1179-1896
DOI
https://doi.org/10.1007/s40258-019-00512-4

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