Social relationships as a major determinant in the valuation of health states
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To empirically determine the impact of the capacity to sustain social relationships on valuing health states.
68 clinical experts conducted a health state valuation exercise in five sites using pairwise comparison, ranking, and person trade-off as elicitation methods. 23,840 pairwise comparisons of a total of 379 health states were analyzed by conditional logistic regression.
Social relationships had a clear monotonic association with perceived disability: the more limited the capacity to sustain social relationships, the more disabling the resulting health state valuations. The highest level of limitations with respect to social relationships was associated with slightly lower impact on health state valuations compared to the highest level of limitations in physical functioning.
Social relationships showed an independent contribution to health state valuations and should be included in health state measures.
KeywordsQuality of life Economic life valuation Methods Social interaction Disability evaluation
Classification and Measurement System of Functional Health
Conditional logistic regression
World Health Organization
This article was funded by National Institute for Alcohol Abuse and Alcoholism; contract no. HHSN267200700041C.
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