Valuing QALYs at the end of life

Social Science & Medicine, vol. 113, pp. 5 – 14. (2014).

Autores: Jose Luis Pinto Prades, Fernando Ignacio Sánchez Martínez, Belén Corbacho, Rachel Baker.

Link

Abstract

The possibility of weighting QALYs differently for different groups of patients has been a source of debate. Most recently, this debate has been extended to the relative value of QALYs at the end of life (EoL). The objective of this study is to provide evidence of societal preferences in relation to this topic.

Continuar leyendo «Valuing QALYs at the end of life»

Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson’s disease population sample

Quality of Life Research, vol. 23(4), pp. 1315 – 1326. (2014).

Autores: Miguel Ángel García-Gordillo, Borja del Pozo-Cruz, José Carmelo Adsuar, Fernando Ignacio Sánchez-Martínez, José María Abellán-Perpiñán.

Link

Abstract
Purpose:

To contribute to the ongoing discussion on the choice of a preference-based health-related quality of life (HRQoL) instrument to be used in cost-effectiveness analysis by studying and comparing the validity, sensitivity and relative efficiency of 15-D and EuroQol 5D 5L (EQ-5D-5L) in a Spanish Parkinson’s disease (PD) population sample.

Continuar leyendo «Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson’s disease population sample»

Análisis de la dispensación de medicamentos para el control de los principales factores de riesgo cardiovascular en la Región de Murcia: ¿existen diferencias de género?

Atención Primaria, vol. 46(3), pp. 147 – 155. (2014).

Autores: Diego P. Sánchez, José J. Guillén, Alberto M. Torres, Fernando I. Sánchez.

Link

Objetivos

Analizar las diferencias por género y edad en el consumo de medicamentos para el control de los principales factores de riesgo cardiovascular.

Continuar leyendo «Análisis de la dispensación de medicamentos para el control de los principales factores de riesgo cardiovascular en la Región de Murcia: ¿existen diferencias de género?»

La privatización de la gestión sanitaria: efecto secundario de la crisis y síntoma de mal gobierno. Informe SESPAS 2014

Gaceta Sanitaria, vol. 28(S1), pp. 75 – 80. (2014).

Autores: Fernando I. Sánchez Martínez, José María Abellán Perpiñán, Juan Oliva-Moreno.

Link

Resumen

Con frecuencia se asegura que la gestión pública de los centros sanitarios es ineficiente. A partir de esta premisa, no contrastada, se argumenta la necesidad de introducir elementos privatizadores en la gestión. En este artículo se revisa la evidencia disponible, a escala nacional e internacional, acerca de la aplicación de mecanismos de gestión privada en sistemas predominantemente públicos similares al Sistema Nacional de Salud español.

Continuar leyendo «La privatización de la gestión sanitaria: efecto secundario de la crisis y síntoma de mal gobierno. Informe SESPAS 2014»

Sesgo de respuesta en una encuesta postal poblacional sobre calidad de vida relacionada con la salud

Revista Española de Salud Pública, vol. 88, pp. 327-337. (2014)

Autores: Bienvenida Carpe Carpe, Lauro Hernando Arizaleta, Olga Monteagudo Piqueras, José Mª Abellán Perpiñán, Joaquín A Palomar Rodríguez y Jordi Alonso.

Link

El objetivo de este trabajo es estimar los factores asociados a la no respuesta con énfasis en la Calidad de Vida Relacionada con la Salud (CVRS) empleando para ello una encuesta postal enviada cuatro meses después de la  Encuesta de Salud de Murcia-2007 que se realiza por vía telefónica.

Continuar leyendo «Sesgo de respuesta en una encuesta postal poblacional sobre calidad de vida relacionada con la salud»

Economic evaluation of colorectal cancer (CRC) screening.

Best Practice & Research Clinical Gastroenterology, vol. 27, pp. 867 – 880. (2013).

Autores: José Cruzado, Fernando Ignacio Sánchez, José María Abellán, Francisco Pérez-Riquelme, Fernando Carballo.

Link

Abstract

Because of its incidence and mortality colorectal cancer represents a serious public health issue in industrial countries. In order to reduce its social impact a number of screening strategies have been implemented, which allow an early diagnosis and treatment. These basically include faecal tests and studies that directly explore the colon and rectum.

Continuar leyendo «Economic evaluation of colorectal cancer (CRC) screening.»

Analysing the Simultaneous Relationship Between Life Satisfaction and Health-Related Quality of Life

Journal of Happiness Studies, vol 14, pp. 1813-1838. (2013)

Autores: Silvia Garrido, Ildefonso Méndez y José María Abellán Perpiñán.

Link

Abstract

This paper aims to examine whether life satisfaction and health-related quality of life (HRQoL) are simultaneously related, as well as to quantify the bias that occurs if simultaneity is not accounted for. The study sample consisted of 870 respondents, representative of the Spanish adult general population.

Continuar leyendo «Analysing the Simultaneous Relationship Between Life Satisfaction and Health-Related Quality of Life»

Lowering the ‘floor’ of the SF-6D scoring algorithm using a lottery equivalent method

Health Economics, vol. 21, pp. 1271 – 1285. (2011).

Autores: José María Abellán Perpiñán, Fernando Ignacio Sánchez Martínez, Jorge Eduardo Martínez Pérez, Ildefonso Méndez.

Link

Summary

This paper presents a new scoring algorithm for the SF-6D, one of the most popular preference-based health status measures. Previous SF-6D value sets have a minimum (a floor), which is substantially higher than the lowest value generated by the EQ-5D model. Our algorithm expands the range of SF-6D utility scores in such a way that the floor is significantly lowered.

Continuar leyendo «Lowering the ‘floor’ of the SF-6D scoring algorithm using a lottery equivalent method»

When normative and descriptive diverge: how to bridge the difference

Social Choice and Welfare, vol 38(4). pp. 369-584. (2012)

Autores: José Luis Pinto Prades y José María Abellán Perpiñán.

Link

Revealed preferences are not consistent. Many anomalies have been found in different contexts. This finding leads to a divergence between normative and descriptive analyses. There are several ways of facing this problem. In this paper we argue in favour of debiasing observed choices in such a way that the “true” preferences are discovered.

Continuar leyendo «When normative and descriptive diverge: how to bridge the difference»

Inverse probability weighted estimation of social tariffs: an illustration using the SF-6D value sets.

Journal of Health Economics, vol. 30(6), pp. 1280 – 1292. (2011).

Autores: Ildefonso Méndez, José María Abellán Perpiñán, Fernando Ignacio Sánchez Martínez y Jorge Eduardo Martínez Pérez.

Link

Abstract

This paper presents a novel approach to model health state valuations using inverse probability weighting techniques. Our approach makes no assumption on the distribution of health state values, accommodates covariates in a flexible way, eschews parametric assumptions on the relationship between the outcome and the covariates, allows for an undetermined amount of heterogeneity in the estimates and it formally tests and corrects for sample selection biases.

Continuar leyendo «Inverse probability weighted estimation of social tariffs: an illustration using the SF-6D value sets.»