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Article

Hybrid Methodology to Improve Health Status Utility Values Derivation Using EQ-5D-5L and Advanced Multi-Criteria Techniques

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Departamento de Economía, Facultad de Ciencias Humanas y Económicas, Universidad Nacional de Colombia Sede Medellín, Medellín 050034, Colombia
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Departamento de Ingeniería de la Organización, Facultad de Minas, Universidad Nacional de Colombia Sede Medellín, Medellín 050034, Colombia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(4), 1423; https://doi.org/10.3390/ijerph17041423
Received: 18 January 2020 / Revised: 19 February 2020 / Accepted: 20 February 2020 / Published: 22 February 2020
(This article belongs to the Section Health Economics)
This paper presented a new approach to the calculation of quality-adjusted life years (QALY) based on multi-criteria decision-making (MCDM) methods and using the EQ-5D-5L questionnaire. The health status utility values were calculated through a hybrid methodology. We combined the analytic hierarchy process (AHP), the AHP with a D-number extended fuzzy preference relation (D-AHP), the fuzzy analytic hierarchy process (F-AHP), and the technique for order preference by similarity to the ideal solution (TOPSIS) to obtain individual and aggregated utility values. The preference data were elicited using a sample of individuals from a Colombian university. In all tested methods, the ordinal preferences were consistent, and the weights were compared using the Euclidean distance criterion (EDC). We identified F-AHP-TOPSIS as the optimal method; its benefits were associated with modeling the response options of the EQ-5D in linguistic terms, it gave the best approximation to the initial preferences according to EDC, and it could be used as an alternative to the known prioritization method. This hybrid methodology was particularly useful in certain medical decisions concerned with understanding how a specific person values his or her current health or possible health outcomes from different interventions in small population samples and studies carried out in low- and middle-low-income countries. View Full-Text
Keywords: MCDM; AHP; TOPSIS; elicit preferences; health utility values MCDM; AHP; TOPSIS; elicit preferences; health utility values
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MDPI and ACS Style

Vásquez, J.; Botero, S. Hybrid Methodology to Improve Health Status Utility Values Derivation Using EQ-5D-5L and Advanced Multi-Criteria Techniques. Int. J. Environ. Res. Public Health 2020, 17, 1423. https://doi.org/10.3390/ijerph17041423

AMA Style

Vásquez J, Botero S. Hybrid Methodology to Improve Health Status Utility Values Derivation Using EQ-5D-5L and Advanced Multi-Criteria Techniques. International Journal of Environmental Research and Public Health. 2020; 17(4):1423. https://doi.org/10.3390/ijerph17041423

Chicago/Turabian Style

Vásquez, Johanna, and Sergio Botero. 2020. "Hybrid Methodology to Improve Health Status Utility Values Derivation Using EQ-5D-5L and Advanced Multi-Criteria Techniques" International Journal of Environmental Research and Public Health 17, no. 4: 1423. https://doi.org/10.3390/ijerph17041423

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