Valuing the ICECAP capability index for older people
Valuing the ICECAP capability index for older people
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DOI：
10.1016/j.socscimed.2008.05.015
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发表时间：
2008-09-01
影响因子：
5.4
通讯作者：
Peters, Tim J.
中科院分区：
文献类型：
--
作者：
Coast, Joanna;Flynn, Terry N.;Peters, Tim J.
本文报告的第一个应用程序的能力方法的开发和评估的工具，用于经济评价的卫生和社会保健干预措施。ICECAP老年人能力指数侧重于生活质量，而不是健康或对生活质量的其他影响，旨在用于英国卫生和社会护理的决策。该措施借鉴了以前的定性工作，其中五个概念属性：附件，安全，角色，享受和控制。本文详细介绍了创新使用卫生经济学的进一步迭代定性工作在英国之间的19个线人，以完善奠定术语的每个属性和属性水平中使用的最终指数。在经济评价的生活质量测量中，首次使用了最佳-最差缩放练习来估计属性水平的一般人群值（尽管是65岁以上的人群），其中完全能力的值锚定在1，没有能力的值锚定在0。死亡被认为是一种没有能力的状态。获得的值表明，附件是最大的影响，但所有属性的能力的总估计作出贡献的属性。估计值是可行的，用于实际应用的指数，以衡量健康和社会护理干预措施的影响。(C)2008爱思唯尔有限公司保留所有权利。
This paper reports the first application of the capabilities approach to the development and valuation of an instrument for use in the economic evaluation of health and social care interventions. The ICECAP index of capability for older people focuses on quality Of life rather than health or other influences on quality of life, and is intended to be used in decision making across health and social care in the UK. The measure draws on previous qualitative work in which five conceptual attributes were developed: attachment, security, role, enjoyment and control. This paper details the innovative use within health economics of further iterative qualitative work in the UK among 19 informants to refine lay terminology for each of the attributes and levels of attributes used in the eventual index. For the first time within quality of life measurement for economic evaluation, a best-worst scaling exercise has been used to estimate general population values (albeit for the population of those aged 65+ years) for the levels of attributes, with values anchored at one for full capability and zero for no capability. Death was assumed to be a state in which there is no capability. The values obtained indicate that attachment is the attribute with greatest impact but all attributes contribute to the total estimation of capability. Values that were estimated are feasible for use in practical applications of the index to measure the impact of health and social care interventions. (C) 2008 Elsevier Ltd. All rights reserved.