| Titre : | Valuing temporary and chronic health states associated with breast screening. (1998) |
| Auteurs : | K. JOHNSTON ; J. BROWN ; K. GERARD ; A. MORTON ; M. O'HANLON ; Health Economics Research Group. Brunel University. Uxbridge Middlesex. GBR ; School of Health Care Sciences. Department of Epidemiology and Public Health. Medical School. University of Newcastle. Newcastle. GBR |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 47, n° 2, 1998) |
| Pagination : | 213-222 |
| Langues: | Anglais |
| Mots-clés : | Dépistage ; Sein ; Résultat ; Qualité vie ; Etat santé ; Echelle santé ; Homme ; Femme |
| Résumé : | [BDSP. Notice produite par INIST R0xR0Xz7. Diffusion soumise à autorisation]. The aim of this study was to derive quality of life values for the four key breast screening outcomes (true negative, false positive, true positive and false negative), including the quality of life effects of the screening and treatment processes. In doing SO, methodological issues in health status measurement were explored, in particular the valuation of temporary health states. The true negative and false positive descriptions were temporary health states, lasting for short term durations (12 months) and the true positive and false negative outcomes were chronic health states lasting for long term durations (rest of life). Descriptions of breast screening outcomes were valued using the time trade-off technique and the visual analogue scale. Paired comparisons between TTO values for states with the same duration found a difference between the true negative and the false positive time trade-off values but no difference for true positive and false negative descriptions. The TTO values for the false positive were low. The study highlights several important methodological issues such as the use of the two stage procedure for valuing temporary health states, the impact of duration on values, the impact of anchor points, and the importance of qualitative analysis of respondents values. Further empirical testing of all these issues is recommended. |
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