Preparatory study for the re-evaluation of the EQ-5D tariff

资源有限，需要有效分配。国家健康与临床卓越研究所(NICE)的成立是为了帮助做出更好的医疗资源分配决策。NICE的建议基于成本效益，而EQ-5D是量化医疗干预对健康相关生活质量影响时的首选工具。EQ-5D是一个工具，它用5个不同的健康维度对243个不同的健康状况进行分类，每个维度都有确定的严重程度。NICE使用EQ-5D？关税？这是一组数字，表明每个EQ-5D健康状态与健康相关的生活质量水平，等级为1表示完全健康，0表示死亡。通过比较患者治疗前后EQ-5D的不同状态，分析人士可以计算出治疗的有效性。目前的EQ-5D资费是基于1994年的一项调查。这项研究要求普通公众重视？使用专门设计的问卷选择假设的EQ-5D状态。然而，在过去的15年里，出现了各种事态发展，导致有必要重新评估。EQ-5D。为了使NICE做出最适当的决定，EQ-5D人口价值集必须是一个最新的，基于对如何评估健康状况的最新理解。拟议的预备研究是一项方法论工作，将有助于重新评估EQ-5D关税。其目的是制定一项供实际重新评估研究使用的方案。该计划将探讨调查公众的不同方式，例如通过在线调查或面对面访问。该项目还将研究设计和措辞问卷的不同方式，以评估假设的EQ-5D状态，或使用哪些EQ-5D状态。它将从一项大规模的在线调查开始，以衡量相关的关切，其中一长串问题可以通过调查大量的人来探索，但不会太详细。然后，这项研究将继续进行规模较小的访谈研究，研究人员可以向参与者提出更详细的问题。该项目的最后阶段将测试建议的研究方案，以供实际的重新评估研究使用，并进行任何进一步的微调调整。

Resources are limited and need to be allocated efficiently. The National Institute for Health and Clinical Excellence (NICE) was set up to help make better health care resource allocation decisions. NICE bases its recommendations on cost effectiveness, and the EQ-5D is the preferred instrument to use when quantifying the health related quality of life impact of medical interventions. EQ-5D is a tool that classifies 243 different health states with 5 different dimensions of health, each with an identified level of severity.NICE uses an EQ-5D ?tariff?. This is a set of numbers that indicate the level of health related quality of life of each EQ-5D health state, on a scale with 1 for full health and 0 for dead. By comparing the different EQ-5D states patients are in before and after treatment, analysts can calculate how effective the treatment is.The current EQ-5D tariff is based on a survey in 1994. The study asked members of the general public to ?value? a selection of hypothetical EQ-5D states using a specially designed questionnaire. However, in the past 15 years, there have been various developments that have lead to the need for a ?re-evaluation? of the EQ-5D. In order for NICE to make the most appropriate decisions, the EQ-5D population value set needs to be one that is up to date, based on the latest understanding of how to value health states.The proposed preparatory study is a methodological piece of work that will contribute to the re-evaluation of the EQ-5D tariff. The aim is to produce a protocol for an actual re-evaluation study to use. The project will look into different ways of surveying members of the public, for instance, by on-line surveys or by face to face interviews. The project will also look at different ways of designing and wording the questionnaire to value hypothetical EQ-5D states, or which EQ-5D states to use. It will start with a large scale on-line survey to gauge the relevant concerns, where a long list of issues can be explored by surveying a large number of people, but not in much detail. The study will then move on to a smaller scale interview study, where researchers can ask participants more detailed questions. The final stage of the project will be to test out a recommended study protocol for the actual re-evaluation study to use, and make any further fine tuning adjustments.