Health outcomes and economic evaluation

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Health economics may be defined as the application of economic theories and methods on health and health care.

The research area concerns methodological developments in the measurement and valuation of health, one area of health economics. The EQ-5D is used in several projects carried out within the resaarch group. The EQ-5D instrument is a patient-reported outcomes measure (PROM) applicable to a wide range of health conditions and treatments and can be used in clinical settings, as a health care performance indicator, in economic evaluation and in measurement of population health in surveys. It provides a simple descriptive profile and a single-index value for health status. An EQ-5D health state may be converted to a single-index value by applying a formula that essentially attaches values to each of the levels in each dimension. A value set can be obtained using different methods for the valuation of health states e.g. the time trade-off (TTO) method and the VAS method. A central question is whether valuations should be based on preferences from individuals who are actually in the health state, i.e. experience-based values, or from individuals to whom the health states are described, i.e. hypothetical values. The index value can be used to estimate the quality-of-life component in quality-adjusted life years (QALYs). The EQ-5D for adults as well as the EQ-5D-Y for youths are applied in studies.

Research Group

The group is lead by Kristina Burström (PhD) who is associate professor of health economics. Other members in the group include Mimmi Åström (Master in Public Health Sciences), PhD candidate; Shaofan Chen (Msc), Chinese Scholarship Council PhD awardee; Xuanxuan Wang (PhD), Chinese Scholarship Council postdoc awardee; Ann-Charlotte Egmar (RN, PhD), associate professor; Jonas Lundkvist (PhD), associate professor of health economics and senior lecturer at Uppsala University, Department of Pharmacy; Ola Rolfsson (MD, PhD) associate professor at the University of Gothenburg, Sahlgrenska Academy, Department of Orthopaedics, and the Swedish Hip Arthroplasty Register; Peter Lindgren (PhD), professor of health economics and research director at the Swedish Institute for Health Economics (IHE); Sophie Langenskiöld (PhD), senior lecturer at Uppsala University, Department of Public Health and Caring SciencesSun Sun (PhD), health economist at Synergus; Jenny Berg (PhD), Dental and Pharmaceutical Benefit Agency (TLV)Jiaying Chen (PhD), professor and Director at the Centre for Health Policy Studies, Nanjing Medical University, China. The research group collaborates with the Equity and Health Policy research group at the Department of Public Health Sciences.

Jenny BergAssociated
Kristina BurströmSenior researcher
Shaofan ChenGraduate Student
Ann-Charlotte EgmarAssociated
Sophie LangenskiöldAssociated
Peter LindgrenAdjunct professor
Jonas LundkvistAssociated
Ola RolfsonAssociated
Sun SunAssociated
Mimmi ÅströmGraduate Student

Jiaying Chen, Professor

Ongoing Projects

To be presented.

Selected Publications

A full publication list for 2015 can be found below.

Swedish experience-based value sets for EQ-5D health states.
Burström K, Sun S, Gerdtham U, Henriksson M, Johannesson M, Levin L, et al
Qual Life Res 2014 Mar;23(2):431-42

Population health status in China: EQ-5D results, by age, sex and socio-economic status, from the National Health Services Survey 2008.
Sun S, Chen J, Johannesson M, Kind P, Xu L, Zhang Y, et al
Qual Life Res 2011 Apr;20(3):309-20

Development of the EQ-5D-Y: a child-friendly version of the EQ-5D
Wille N, Badia X, Bonsel G, Burström K, Cavrini G, Devlin N, Egmar AC, et al
Qual Life Res. 2010 Aug;19(6):875-86

Health-related quality of life 10 years after intracranial aneurysm rupture: a retrospective cohort study using EQ-5D
von Vogelsang AC, Burström K, Wengström Y, Svensson M, Forsberg C

Neurosurgery. 2013 Mar;72(3):397-405

Does income-related health inequality change as the population ages? Evidence from Swedish panel data.
Islam M, Gerdtham U, Clarke P, Burström K
Health Econ 2010 Mar;19(3):334-49

The societal burden of poor persistence to treatment of osteoporosis in Sweden.
Landfeldt E, Lundkvist J, Ström O
Bone 2011 Feb;48(2):380-8

Outcome-free design of observational studies: peer influence on smoking
Langenskiöld S, Rubin D
Annales d'économie et de statistique (Annals of Economics and Statistics). 2008;91/92:107-125

Financing (external funders)

Stockholm County Council; The EuroQol Research Foundation; Natural Nature Science Foundation of China; FORTE; EU Programme for Employment and Social Innovation; Chinese Scholarship Council; Nantong University, China.

EqualityEthicsHealth economicsPublic Health