Lifecycle model-based evaluation of infant 4CMenB vaccination in the UK
ConclusionsHALM-based CBA provides an empirically richer, more utility –theoretically grounded approach to vaccine evaluation than CUA, demonstrating good value for money for legislatures (based on private values) and for all decision-makers (based on social values). (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - January 5, 2024 Category: Health Management Source Type: research

Risk adjustment for regional healthcare funding allocations with ensemble methods: an empirical study and interpretation
AbstractWe experiment with recent ensemble machine learning methods in estimating healthcare costs, utilizing Finnish data containing rich individual-level information on healthcare costs, socioeconomic status and diagnostic data from multiple registries. Our data are a random 10% sample (553,675 observations) from the Finnish population in 2017. Using annual healthcare cost in 2017 as a response variable, we compare the performance of Random forest, Gradient Boosting Machine (GBM) and eXtreme Gradient Boosting (XGBoost) to linear regression. As machine learning methods are often seen as unsuitable in risk adjustment appli...
Source: The European Journal of Health Economics - January 3, 2024 Category: Health Management Source Type: research

Impact of Long COVID on productivity and informal caregiving
ConclusionLC significantly impacts productivity losses and provision of informal care, exacerbated by high national prevalence of LC. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - December 26, 2023 Category: Health Management Source Type: research

Exploring non-iterative time trade-off methods for valuation of EQ-5D-5L health states
In this study, two non-iterative variants of the TTO method, non-stopping TTO (nTTO) and open-ended TTO (oTTO), were tested head-to-head with the cTTO method aiming to reduce the administration burden.Methods31 EQ-5D-5L health states from an orthogonal array was selected and valued by a general public sample in China. Data were collected by 7 interviewers with all interviewers performed an equal number of interviews using all three TTO methods. We compared the value distribution, logical consistency, administration burden, and modeling performance of these three TTO methods.ResultsIn total, 422 participants participated in...
Source: The European Journal of Health Economics - December 17, 2023 Category: Health Management Source Type: research

The elicitation of patient and physician preferences for calculating consumer-based composite measures on hospital report cards: results of two discrete choice experiments
ConclusionWe determined considerable differences between both study groups when calculating the relative value of publicly available hospital quality information. This may have an impact when calculating aggregated composite measures based on consumer-based weighting. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - December 15, 2023 Category: Health Management Source Type: research

Modeling European health systems: an ideal chain of services
(Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - December 14, 2023 Category: Health Management Source Type: research

Projected costs of informal care for older people in England
ConclusionsPrevention schemes aiming to promote healthy aging and independence will be important to alleviate the costs of informal care. The government should strengthen support for informal caregivers and care recipients to ensure the adequacy of care, protect the well-being of caregivers, and prevent the costs of informal care from spilling over to other sectors of the economy. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - December 12, 2023 Category: Health Management Source Type: research

Beyond 10-year lead-times in EQ-5D-5L: leveraging alternative lead-times in willingness-to-accept questions to capture preferences for worse-than-dead states and their implication
ConclusionsWhile ALTs offer insights into patient preferences, their integration into economic evaluations might require rescaling. Future research should prioritize advanced rescaling methods or enhanced elicitation strategies for populations with substantial censoring. This is pivotal for improving the elicitation of extreme WTD states and accurately discerning the relative distances between health states. Countries developing EQ-5D-5L value sets should consider pilot studies and incorporating region-specific questions on social determinants, especially where pronounced floor effects are suspected. (Source: The European ...
Source: The European Journal of Health Economics - December 11, 2023 Category: Health Management Source Type: research