An Investigation of the Feasibility and Cultural Appropriateness of Stated Preference Methods to Generate EQ-5D-5L Values in the United Arab Emirates

20 Pages Posted: 14 Jul 2015 Last revised: 13 Aug 2015

See all articles by Manny Papadimitropoulos

Manny Papadimitropoulos

University of Toronto

Iffat Elbarazi

United Arab Emirates University (UAEU)

Iain Blair

United Arab Emirates University (UAEU)

Marina Selini Katsaiti

United Arab Emirates University (UAEU) - College of Business and Economics

Koonal Shah

Office of Health Economics; University of Sheffield - School of Health and Related Research (ScHARR)

Nancy Devlin

Office of Health Economics

Date Written: February 1, 2015

Abstract

Objectives: No EQ-5D-5L value sets are currently available in the Middle East to inform decision making in the region’s health care systems. This study tests the feasibility of eliciting EQ-5D-5L values from a general public sample in the United Arab Emirates (UAE) using the EuroQol Group’s standardised valuation protocol.

Methods: Values were elicited in face-to-face computer-assisted personal interviews. Adult Emiratis were recruited in public places. Respondents completed 10 time trade-off (TTO) tasks and seven discrete choice experiment (DCE) tasks, followed by debriefing questions about their experience of completing the valuation tasks. Descriptive analyses were used to assess the face validity of the data.

Results: Two-hundred respondents were interviewed in December 2013. The face validity of the data appears to be reasonably high. Mean TTO values ranged from 0.81 for the mildest health state (21111) to 0.19 for the worst health state in the EQ-5D-5L descriptive system (55555). Health states were rarely valued as being worse than dead (6.2% of all observations; 10.0% of all valuations of 55555). In a rationality check DCE task whereby a health state (55554) was compared to another that logically dominated it (55211), 99.5% of respondents chose the dominant option. The majority of respondents stated that their religious beliefs influenced their responses to the valuation tasks.

Conclusions: Our results suggest that it is feasible to generate meaningful health state values in the UAE, though some adaptation of the methods may be required to improve their acceptability in the UAE (and other countries with predominantly Muslim populations).

Suggested Citation

Papadimitropoulos, Manny and Elbarazi, Iffat and Blair, Iain and Katsaiti, Marina Selini and Shah, Koonal and Devlin, Nancy, An Investigation of the Feasibility and Cultural Appropriateness of Stated Preference Methods to Generate EQ-5D-5L Values in the United Arab Emirates (February 1, 2015). Available at SSRN: https://ssrn.com/abstract=2630541 or http://dx.doi.org/10.2139/ssrn.2630541

Manny Papadimitropoulos (Contact Author)

University of Toronto ( email )

105 St George Street
Toronto, Ontario M5S 3G8
Canada

Iffat Elbarazi

United Arab Emirates University (UAEU) ( email )

College of Business and Economics
P.O.Box 17555
Al Ain, Abu Dhabi 17555
United Arab Emirates

Iain Blair

United Arab Emirates University (UAEU) ( email )

College of Business and Economics
P.O.Box 17555
Al Ain, Abu Dhabi 17555
United Arab Emirates

Marina Selini Katsaiti

United Arab Emirates University (UAEU) - College of Business and Economics ( email )

Al-Ain, POB 17555
United Arab Emirates

HOME PAGE: http://www.katsaiti.com

Koonal Shah

Office of Health Economics ( email )

7th floor Southside
105 Victoria Street
London, SW1E 6QT
United Kingdom

University of Sheffield - School of Health and Related Research (ScHARR) ( email )

Regent Court
30 Regent Street
Sheffield S1 4DA
United Kingdom

Nancy Devlin

Office of Health Economics ( email )

105 Victoria Street
London, SW1E 6QT
United Kingdom
0044 2077478858 (Phone)

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