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A feasibility and applicability study of a health-related quality of life measurement in Vietnam
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0001-6962-0564
2023 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)Alternativ titel
Genomförbarhet och tillämplighet av hälsorelaterad livskvalitetsmätning för sjukvården i Vietnam (Svenska)
Abstract [en]

Introduction: An evidence-based strategy is used the national social health-insurance programme in Vietnam to assess healthcare technologies. Health technology assessments (HTA) have become increasingly important within decision-making processes. This doctoral project involved developing a health-related quality of life (HRQOL) measurement to be used in HTA in Vietnam.

Methodology: The doctoral project used a mixed-methods approach, which comprised a health-preference elicitation study using a combination of time-trade-off and discrete choice experiments method for the EQ-5D-5L, as recommended by the EuroQol Group (Objective 1). The project incorporated a validity study that utilised secondary data (Objective 2), a cost-utility analysis that utilised both secondary data and normative costing data (Objective 3), and a qualitative study that utilised empirical data (Objective 4). Additionally, the doctoral project resulted in an EQ-5D-5L reference dataset for the general population of Vietnam.

Results: A generic preference-based HRQOL measurement was developed for the Vietnamese population using the EQ-5D-5L instrument. This tool can be utilised not only as an outcome measurement for HTA, but in other health-science disciplines. The EQ-5D-5L comprises a descriptive system with five questions, a visual analogue scale (EQ-VAS), and a value set that facilitates the assignment of health-state values (Sub-study 1). The doctoral project proposed an EQ-5D-5L reference dataset that could serve as a basis for HRQOL comparison in Vietnam (Sub-study 2). It has added evidence on the validity of the EQ-5D-5L for the Vietnamese population through a known-groups validation conducted on individuals with hypertension (Sub-study 2). This validation has facilitated the establishment of a favourable environment for the implementation of this tool in Vietnam. Additionally, the satisfactory performance of the EQ-5D-5L has been shown in producing data that is useful for the cost utility analysis in Vietnam (Sub-study 3). Despite concerns regarding the appropriateness of the EQ-5D-5L in reflecting HRQOL for disease-specific populations, the tool has been accepted and is commonly used in Vietnam (Sub-study 4).

Conclusion: The outcomes of the doctoral project are a favourable HTA environment, facilitation of evidence-based decision-making, and contribution to the goal of achieving universal health coverage in Vietnam.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå University, 2023. , s. 62
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 2252
Nyckelord [en]
Health related quality of life, health technology assessment, Vietnam, health preference measures
Nationell ämneskategori
Folkhälsovetenskap, global hälsa och socialmedicin
Forskningsämne
epidemiologi
Identifikatorer
URN: urn:nbn:se:umu:diva-218516ISBN: 9789180702423 (tryckt)ISBN: 9789180702430 (digital)OAI: oai:DiVA.org:umu-218516DiVA, id: diva2:1821588
Disputation
2024-01-26, Alicante, By 5B, plan 3, Norrlands universitetssjukhus, Umeå, 09:00 (Engelska)
Opponent
Handledare
Anmärkning

The defence will also be broadcast through Zoom.

Tillgänglig från: 2023-12-21 Skapad: 2023-12-20 Senast uppdaterad: 2025-02-20Bibliografiskt granskad
Delarbeten
1. An EQ-5D-5L value set for Vietnam
Öppna denna publikation i ny flik eller fönster >>An EQ-5D-5L value set for Vietnam
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2020 (Engelska)Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 29, s. 1923-1933Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

PURPOSE: The objective of this study was to develop an EQ-5D-5L value set based on the health preferences of the general adult population of Vietnam.

METHODS: The EQ-VT protocol version 2.1 was applied. Multi-stage stratified cluster sampling was employed to recruit a nationally representative sample. Both composite time trade-off (C-TTO) and discrete choice experiment (DCE) methods were used. Several modelling approaches were considered including hybrid; tobit; panel and heteroscedastic models. First, models using C-TTO or DCE data were tested separately. Then possibility of combining the C-TTO and DCE data was examined. Hybrid models were tested if it was sensible to combine both types of data. The best-performing model was selected based on both the consistency of the results produced and the degree to which models used all the available data.

RESULTS: Data from 1200 respondents representing the general Vietnamese adult population were included in the analyses. Only the DCE Logit model and the regular Hybrid model that uses all available data produced consistent results. As the priority was to use all available data if possible, the hybrid model was selected to generate the Vietnamese value set. Mobility had the largest effect on health state values, followed by pain/discomfort, usual activities, anxiety/depression and self-care. The Vietnam values ranged from - 0.5115 to 1.

CONCLUSION: This is the first value set for EQ-5D-5L based on social preferences obtained from a nationally representative sample in Vietnam. The value set will likely play a key role in economic evaluations and health technology assessments in Vietnam.

Ort, förlag, år, upplaga, sidor
Springer Netherlands, 2020
Nyckelord
EQ-5D-5L, Generic measures, Utility, Value set
Nationell ämneskategori
Folkhälsovetenskap, global hälsa och socialmedicin
Identifikatorer
urn:nbn:se:umu:diva-169667 (URN)10.1007/s11136-020-02469-7 (DOI)000521923500001 ()32221805 (PubMedID)2-s2.0-85082922231 (Scopus ID)
Tillgänglig från: 2020-04-15 Skapad: 2020-04-15 Senast uppdaterad: 2025-02-20Bibliografiskt granskad
2. Reference data among general population and known-groups validity among hypertensive population of the EQ-5D-5L in Vietnam
Öppna denna publikation i ny flik eller fönster >>Reference data among general population and known-groups validity among hypertensive population of the EQ-5D-5L in Vietnam
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2022 (Engelska)Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 31, s. 539-550Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: This study aims to provide EQ-5D-5L population norms among the general population in Vietnam and to test EQ-5D-5L’ construction validity among people living with hypertension there.

Methods: Descriptive statistics of the five dimensions and five levels, EQ-VAS and EQ-5D-5L indexes were categorised into gender and age groups for the EQ-5D-5L population norms. Known-groups testing was set for lower EQ-5D-5L outcomes among people who were aware of their hypertensive status, females, people with more comorbidities, less education, older ages, and higher body mass indexes. Level of confident interval was 95%.

Results: The mean EQ-VAS and EQ-5D-5L indexes were 81.10 (SD: 13.35) and 0.94 (SD: 0.09) among the general population. The EQ-5D-5L outcomes were better among younger people, males, people with more education, employees, and single people. Respondents reported fewer problems with self-care and usual activities and tend to have problems at higher levels across older ages. The known-group testing showed statistically significant results. The mean EQ-VAS and EQ-5D-5L indexes of people in the diagnosed hypertensive group (71.48 and 0.94, respectively) were statistically significantly smaller than they were in the non-hypertensive and undiagnosed hypertensive group (76.65 and 0.97; 76.95 and 0.96 accordingly). Statistically significant associations of lower EQ-5D-5L indexes and EQ-VAS were found among people diagnosed for hypertension, people suffering from an incremental comorbidity, and obese people.

Conclusion: This study has provided EQ-5D-5L population norms for the general population and evidence for known-groups validity of the EQ-5D-5L instrument among hypertensive people in Vietnam.

Ort, förlag, år, upplaga, sidor
Springer Nature, 2022
Nyckelord
EQ-5D-5L known-groups validity, EQ-5D-5L population norms, EQ-5D-5L reference data, EQ-5D-5L validity
Nationell ämneskategori
Folkhälsovetenskap, global hälsa och socialmedicin
Identifikatorer
urn:nbn:se:umu:diva-186791 (URN)10.1007/s11136-021-02959-2 (DOI)000683243600002 ()34370187 (PubMedID)2-s2.0-85112099929 (Scopus ID)
Forskningsfinansiär
Familjen Erling-Perssons Stiftelse
Tillgänglig från: 2021-08-23 Skapad: 2021-08-23 Senast uppdaterad: 2025-02-20Bibliografiskt granskad
3. Cost effectiveness of consolidation durvalumab in treatment for inoperable stage III non-small cell lung cancer in Vietnam
Öppna denna publikation i ny flik eller fönster >>Cost effectiveness of consolidation durvalumab in treatment for inoperable stage III non-small cell lung cancer in Vietnam
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(Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
Nationell ämneskategori
Cancer och onkologi Folkhälsovetenskap, global hälsa och socialmedicin
Forskningsämne
epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-218542 (URN)
Tillgänglig från: 2023-12-20 Skapad: 2023-12-20 Senast uppdaterad: 2025-02-20
4. Acceptability of the use of health-related quality of life for decision making in healthcare science in Viet Nam
Öppna denna publikation i ny flik eller fönster >>Acceptability of the use of health-related quality of life for decision making in healthcare science in Viet Nam
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(Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
Nationell ämneskategori
Folkhälsovetenskap, global hälsa och socialmedicin
Forskningsämne
epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-218552 (URN)
Tillgänglig från: 2023-12-21 Skapad: 2023-12-21 Senast uppdaterad: 2025-02-20

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