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Cross-national agreement on disability weights:the Eurpoean disability weights project

Kamper-Jorgensen, F., Christensen, U., Moesgaard Iburg, K., Raftery, J., Packer, C., Gold, Lisa, Robinson, S., Durand-Zaleski, I., Schwarzinger, Michael, Gunning-Schepers, L., Bonsel, G., Moerman, C., Stouthard, Marlies, van der Maas, P., Essink-Bot, Marie-Louise, Pereira, Joaquin, Baylin, A., Fernandez, E., Diderichsen, F., Burstrom, Kristina and Ljung, R. 2003, Cross-national agreement on disability weights:the Eurpoean disability weights project, Population Health Metrics, vol. 1, no. 9, pp. 1-9.

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Title Cross-national agreement on disability weights:the Eurpoean disability weights project
Author(s) Kamper-Jorgensen, F.
Christensen, U.
Moesgaard Iburg, K.
Raftery, J.
Packer, C.
Gold, Lisa
Robinson, S.
Durand-Zaleski, I.
Schwarzinger, Michael
Gunning-Schepers, L.
Bonsel, G.
Moerman, C.
Stouthard, Marlies
van der Maas, P.
Essink-Bot, Marie-Louise
Pereira, Joaquin
Baylin, A.
Fernandez, E.
Diderichsen, F.
Burstrom, Kristina
Ljung, R.
Journal name Population Health Metrics
Volume number 1
Issue number 9
Start page 1
End page 9
Publisher BioMed Central Ltd
Place of publication London, England
Publication date 2003-11
ISSN 1478-7954
Summary Background: Disability weights represent the relative severity of disease stages to be incorporated in summary measures of population health. The level of agreement on disability weights in Western European countries was investigated with different valuation methods.

Methods:
Disability weights for fifteen disease stages were elicited empirically in panels of health care professionals or non-health care professionals with an academic background following a strictly standardised procedure. Three valuation methods were used: a visual analogue scale (VAS); the time trade-off technique (TTO); and the person trade-off technique (PTO). Agreement among England, France, the Netherlands, Spain, and Sweden on the three disability weight sets was analysed by means of an intraclass correlation coefficient (ICC) in the framework of generalisability theory. Agreement among the two types of panels was similarly assessed.

Results
: A total of 232 participants were included. Similar rankings of disease stages across countries were found with all valuation methods. The ICC of country agreement on disability weights ranged from 0.56 [95% CI, 0.52–0.62] with PTO to 0.72 [0.70–0.74] with VAS and 0.72 [0.69–0.75] with TTO. The ICC of agreement between health care professionals and non-health care professionals ranged from 0.64 [0.58–0.68] with PTO to 0.73 [0.71–0.75] with VAS and 0.74 [0.72–0.77] with TTO.

Conclusions
: Overall, the study supports a reasonably high level of agreement on disability weights in Western European countries with VAS and TTO methods, which focus on individual preferences, but a lower level of agreement with the PTO method, which focuses more on societal values in resource allocation.
Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Language eng
Field of Research 140208 Health Economics
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2003, BioMed Central Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009445

Document type: Journal Article
Collections: School of Health and Social Development
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.