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Wee, H.L.; Li, S.C.; Xie, F.; Luo, X.H.Z.N.; Cheung, Y.B.; Machin, D.; Fong, K.Y.; Thumboo, J. (2006)
Publisher: BioMed Central
Languages: English
Types: Article
BACKGROUND\ud \ud \ud To characterize ease in discussing death (EID) and its influence on health valuation in a multi-ethnic Asian population and to determine the acceptability of various descriptors of death and "pits"/"all-worst" in health valuation.\ud \ud METHODS\ud \ud In-depth interviews (English or mother-tongue) among adult Chinese, Malay and Indian Singaporeans selected to represent both genders and a wide range of ages/educational levels. Subjects rated using 0–10 visual analogue scales (VAS): (1) EID, (2) acceptability of 8 descriptors for death, and (3) appropriateness of "pits" and "all-worst" as descriptors for the worst possible health state. Subjects also valued 3 health states using VAS followed by time trade-off (TTO). The influence of sociocultural variables on EID and these descriptors was studied using univariable analyses and multiple linear regression (MLR). The influence of EID on VAS/TTO utilities with adjustment for sociocultural variables was assessed using MLR.\ud \ud RESULTS\ud \ud Subjects (n = 63, 35% Chinese, 32% Malay, median age 44 years) were generally comfortable with discussing death (median EID: 8.0). Only education significantly influenced EID (p = 0.045). EID correlated weakly with VAS/TTO scores (range: VAS: -0.23 to 0.07; TTO: -0.14 to 0.11). All subjects felt "passed away", "departed" and "deceased" were most acceptable (median acceptability: 8.0) while "sudden death" and "immediate death" were least acceptable (median acceptability: 5.0). Subjects clearly preferred "all-worst" to "pits" (63% vs. 19%, p < 0.001).\ud \ud CONCLUSION\ud \ud Singaporeans were generally comfortable with discussing death and had clear preferences for several descriptors of death and for "all-worst". EID is unlikely to influence health preference measurement in health valuation studies.\ud
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    • 1. Torrance GW: Measurement of health state utilities for economic appraisal. J Health Econ 1986, 5:1-30.
    • 2. Green C, Brazier J, Deverill M: Valuing health-related quality of life. A review of health state valuation techniques. Pharmacoeconomics 2000, 17:151-165.
    • 3. Dolan P: Effect of age on health state valuations. J Health Serv Res Policy 2000, 5:17-21.
    • 4. Gudex C, Dolan P, Kind P, Williams A: Health state valuations from the general public using the visual analogue scale. Qual Life Res 1996, 5:521-531.
    • 5. Happich M, von Lengerke T: Valuing the health state 'tinnitus': differences between patients and the general public. Hear Res 2005, 207:50-58.
    • 6. Polsky D, Willke RJ, Scott K, Schulman KA, Glick HA: A comparison of scoring weights for the EuroQol derived from patients and the general public. Health Econ 2001, 10:27-37.
    • 7. Dolan P, Gudex C, Kind P, Williams A: The Measurement and Valuation of Health. First Report on the Main Survey. The MVH Group. Centre for Health Economics, The University of York; 1994.
    • 8. Perkins MR, Devlin NJ, Hansen P: The validity and reliability of EQ-5D health state valuations in a survey of Maori. Qual Life Res 2004, 13:271-274.
    • 9. Raat H, Bonsel GJ, Hoogeveen WC, Essink-Bot ML, Dutch HUI Group: Feasibility and reliability of a mailed questionnaire to obtain visual analogue scale valuations for health states defined by the Health Utilities Index Mark 3. Med Care 2004, 42:13-18.
    • 10. Brooks RG, Jendteg S, Lindgren B, Persson U, Bjork S: EuroQol: health-related quality of life measurement. Results of the Swedish questionnaire exercise. Health Policy 1991, 18:37-48.
    • 11. Wilson B, Ryan AS: Working with the terminally ill ChineseAmerican patient. In Social work practice with the terminally ill a transcultural perspective Edited by: Parry JK. Springfield, IL: Charles C. Thomas; 1990:145-58.
    • 12. Chan KS, Lam ZCL, Chun RPK, Dai DLK, Leung ACT: Chinese patients with terminal cancer. In Oxford textbook of palliative medicine 2nd edition. Edited by: Doyle D, Hanks G, MacDonald N. New York: Oxford; 1998:793-795.
    • 13. Nishimoto PW, Foley J: Cultural beliefs of Asian Americans associated with terminal illness and death. Semin Oncol Nurs 2001, 17:179-189.
    • 14. Galanti GA, Ed: End of life. In Caring for patients from different cultures 3rd edition. Philadelphia: University of Pennsylvania Press; 2004:98-106.
    • 15. Louie KB: Health promotion interventions for Asian American Pacific Islanders. In Asian Voices: Asian and Asian-American Health Educators Speak Out Edited by: Heath J, Lin Z. Canada: Jones and Bartlett Publishers; 1999:3-15.
    • 16. Tsuchiya A, Ikeda S, Ikegami N, Nishimura S, Sakai I, Fukuda T, Hamashima C, Hisashige A, Tamura M: Estimating an EQ-5D population value set: the case of Japan. Health Econ 2002, 11:341-353.
    • 17. Devlin NJ, Hansen P, Kind P, Williams A: Logical inconsistencies in survey respondents' health state valuations - a methodological challenge for estimating social tariffs. Health Econ 2003, 12:529-544.
    • 18. Dolan P: Modeling valuations for EuroQol health states. Med Care 1997, 35:1095-1108.
    • 19. StataCorp: Stata Statistical Software Release 8 College Station, TX: StataCorp LP; 2003.
    • 20. Essink-Bot ML, Stouthard ME, Bonsel GJ: Generalizability of valuations on health states collected with the EuroQolc-questionnaire. Health Econ 1993, 2:237-246.
    • 21. Dolan P, Kind P: Inconsistency and health state valuations. Soc Sci Med 1996, 42:609-615.
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