Our publications - Health Economics and Policy Research Group

Below you can find our latest scientific articles, dissertations, reports and other publications.

library, books

Scientific articles (2017-)


Cost-Effectiveness of the Stockholm3 Test and Magnetic Resonance Imaging in Prostate Cancer Screening: A Microsimulation Study.
Hao S, Heintz E, Östensson E, Discacciati A, Jäderling F, Grönberg H, Eklund M, Nordström T, Clements MS.
Eur Urol. 2022 Jan 27:S0302-2838(21)02269-7.

Exploring EQ-5D-Y-3L Experience-Based VAS Values Derived Among Adolescents.
Åström M, Rolfson O, Burström K.
Appl Health Econ Health Policy. 2022 Jan 26.


Cost-Effectiveness of Magnetic Resonance Imaging in Prostate Cancer Screening: A Microsimulation Study.
Hao S, Karlsson A, Heintz E, Elfström KM, Nordström T, Clements M.
Value Health. 2021 Dec;24(12):1763-1772.

Health-related quality of life in patients with lower limb amputation - an assessment of the measurement properties of EQ-5D-3L and EQ-5D-5L using data from the Swedish Amputation and Prosthetics Registry.
Ernstsson O, Hagberg K, Janssen MF, Bonsel GJ, Korkmaz S, Zethraeus N, Heintz E.
Disabil Rehabil. 2021 Dec 21:1-9.

Simply the best? The impact of quality on choice of primary healthcare provider in Sweden.
Dahlgren C, Dackehag M, Wändell P, Rehnberg C.
Health Policy. 2021 Nov;125(11):1448-1454.

EQ-5D-3L full health state discriminates between drug and placebo in clinical trials of systemic lupus erythematosus.
Lindblom J, Gomez A, Borg A, Emamikia S, Ladakis D, Matilla J, Pehr M, Cobar F, Enman Y, Heintz E, Regardt M, Parodis I.
Rheumatology (Oxford). 2021 Oct 2;60(10):4703-4716.

Inequality and heterogeneity in health-related quality of life: findings based on a large sample of cross-sectional EQ-5D-5L data from the Swedish general population.
Teni FS, Gerdtham UG, Leidl R, Henriksson M, Åström M, Sun S, Burström K.
Qual Life Res. 2021 Oct 10.

Determinants for use of direct-to-consumer telemedicine consultations in primary healthcare-a registry based total population study from Stockholm, Sweden.
Dahlgren C, Dackehag M, Wändell P, Rehnberg C.
BMC Fam Pract. 2021 Jun 26;22(1):133.

The effects of competition and bundled payment on patient reported outcome measures after hip replacement surgery.
Goude F, Kittelsen SAC, Malchau H, Mohaddes M, Rehnberg C.
BMC Health Serv Res. 2021 Apr 26;21(1):387.

Acceptability of the health-related quality of life instrument EQ-5D-Y-5L among patients in child and adolescent psychiatric inpatient care.
Krig S, Åström M, Kulane A, Burström K.
Acta Paediatr. 2021 Mar;110(3):899-906.

The cost-effectiveness of prostate cancer screening using the Stockholm3 test.
Karlsson AA, Hao S, Jauhiainen A, Elfström KM, Egevad L, Nordström T, Heintz E, Clements MS.
PLoS One. 2021 Feb 25;16(2):e0246674.


Electroconvulsive Therapy in Depression: Improvement in Quality of Life Depending on Age and Sex.
Güney P, Ekman CJ, Hammar Å, Heintz E, Landén M, Lundberg J, Nordanskog P, Nordenskjöld A.
J ECT. 2020 Dec;36(4):242-246.

Reporting and valuing one's own health: a think aloud study using EQ-5D-5L, EQ VAS and a time trade-off question among patients with a chronic condition.
Ernstsson O, Burström K, Heintz E, Mølsted Alvesson H.
Health Qual Life Outcomes. 2020 Dec 17;18(1):388.

Healthcare pathways and resource use: mapping consequences of ambulance assessment for direct care with alternative healthcare providers.
Varg S, Vicente V, Castren M, Lindgren P, Rehnberg C.
BMC Emerg Med 2020 10;20(1):85.

Collection and use of EQ-5D for follow-up, decision-making, and quality improvement in health care - the case of the Swedish National Quality Registries.
Ernstsson O, Janssen MF, Heintz E.
J Patient Rep Outcomes. 2020 Sep 16;4(1):78.

Volar locking plate versus external fixation for unstable dorsally displaced distal radius fractures-A 3-year cost-utility analysis.
Saving J, Heintz E, Pettersson H, Enocson A, Mellstrand Navarro C.
PLoS One. 2020 Oct 8;15(10):e0240377.

EQ-5D-Y-5L as a patient-reported outcome measure in psychiatric inpatient care for children and adolescents - a cross-sectional study.
Åström M, Krig S, Ryding S, Cleland N, Rolfson O, Burström K.
Health Qual Life Outcomes. 2020 Jun 3;18(1):164.

Whom should we ask? A systematic literature review of the arguments regarding the most accurate source of information for valuation of health states.
Helgesson G, Ernstsson O, Åström M, Burström K.
Qual Life Res. 2020 Jun;29(6):1465-1482.

The economic burden of prostate cancer - a Swedish prevalence-based register study.
Hao S, Östensson E, Eklund M, Grönberg H, Nordström T, Heintz E, Clements M.
BMC Health Serv Res. 2020 May 20;20(1):448.

A performance comparison of patient pathways in Nordic capital areas - a pilot study for ischaemic stroke patients.
Häkkinen U, Goude F, Hagen TP, Kruse M, Moger T, Peltola M, et al.
Scand J Public Health 2020 Jan;():1403494819863523.

Influence of elicitation procedure and phrasing on health state valuations in experience-based time trade-off tasks among diabetes patients in China.
Hao S, Heintz E, Helgesson G, Langenskiöld S, Chen J, Burström K.
Qual Life Res. 2020 Jan;29(1):289-301.


The productivity development of total hip arthroplasty in Sweden: a multiple registry-based longitudinal study using the Malmquist Productivity Index.
Goude F, Garellick G, Kittelsen SAC, Nemes S, Rehnberg C.
BMJ Open 2019 09;9(9):e028722.

EQ-5D-Y-5L: developing a revised EQ-5D-Y with increased response categories.
Kreimeier S, Åström M, Burström K, Egmar AC, Gusi N, Herdman M, Kind P, Perez-Sousa MA, Greiner W.
Qual Life Res. 2019 Jul;28(7):1951-1961.

Treatment of radius or ulna fractures in the elderly: A systematic review covering effectiveness, safety, economic aspects and current practice.
Mellstrand Navarro C, Brolund A, Ekholm C, Heintz E, Hoxha Ekström E, Josefsson PO, Leander L, Nordström P, Zidén L, Stenström K.
PLoS One. 2019 Mar 28;14(3):e0214362.


Treatment of humerus fractures in the elderly: A systematic review covering effectiveness, safety, economic aspects and evolution of practice.
Mellstrand Navarro C, Brolund A, Ekholm C, Heintz E, Hoxha Ekström E, Josefsson PO, Leander L, Nordström P, Zidén L, Stenström K.
PLoS One. 2018 Dec 13;13(12):e0207815.

Population health status based on the EQ-5D-Y-3L among adolescents in Sweden: Results by sociodemographic factors and self-reported comorbidity.
Åström M, Persson C, Lindén-Boström M, Rolfson O, Burström K.
Qual Life Res. 2018 Nov;27(11):2859-2871.

Short-term Resource Utilization and Cost-Effectiveness of Comprehensive Geriatric Assessment in Acute Hospital Care for Severely Frail Elderly Patients.
Ekerstad N, Karlson BW, Andersson D, Husberg M, Carlsson P, Heintz E, Alwin J.
J Am Med Dir Assoc. 2018 Oct;19(10):871-878.e2.

Socioeconomic distribution of GP visits following patient choice reform and differences in reimbursement models: Evidence from Sweden.
Sveréus S, Kjellsson G, Rehnberg C.
Health Policy 2018 Sep;122(9):949-956.

Retrospective cohort study of breast cancer incidence, health service use and outcomes in Europe: a study of feasibility.
Williams LJ, Fletcher E, Douglas A, Anderson EDC, McCallum A, Simpson CR, et al.
Eur J Public Health 2018 04;28(2):327-332.

Evaluating the implementation related challenges of Shasthyo Suroksha Karmasuchi (health protection scheme) of the government of Bangladesh: a study protocol.
Ahmed S, Hasan MZ, Ahmed MW, Dorin F, Sultana M, Islam Z, et al.
BMC Health Serv Res 2018 07;18(1):552.

The impact of community-based health insurance on the utilization of medically trained healthcare providers among informal workers in Bangladesh.
Ahmed S, Sarker AR, Sultana M, Chakrovorty S, Ahmed MW, Dorin F, et al.
PLoS One 2018 ;13(7):e0200265.

Implementation Research to Address the United States Health Disadvantage: Report of a National Heart, Lung, and Blood Institute Workshop.
Engelgau MM, Narayan KMV, Ezzati M, Salicrup LA, Belis D, Aron LY, et al.
Glob Heart 2018 06;13(2):65-72.

Ethical aspects of diagnosis and interventions for children with fetal alcohol Spectrum disorder (FASD) and their families.
Helgesson G, Bertilsson G, Domeij H, Fahlström G, Heintz E, Hjern A, Nehlin Gordh C, Nordin V, Rangmar J, Rydell AM, Wahlsten VS, Hultcrantz M.
BMC Med Ethics. 2018 Jan 5;19(1):1.


Comparing Methods for Estimating Direct Costs of Adverse Drug Events.
Gyllensten H, Jönsson AK, Hakkarainen KM, Svensson S, Hägg S, Rehnberg C.
Value Health 2017 12;20(10):1299-1310.

Direct and indirect costs for adverse drug events identified in medical records across care levels, and their distribution among payers.
Natanaelsson J, Hakkarainen KM, Hägg S, Andersson Sundell K, Petzold M, Rehnberg C, et al.
Res Social Adm Pharm 2017 11;13(6):1151-1158.

Recording a diagnosis of stroke, transient ischaemic attack or myocardial infarction in primary healthcare and the association with dispensation of secondary preventive medication: a registry-based prospective cohort study.
Dahlgren C, Geary L, Hasselström J, Rehnberg C, Schenck-Gustafsson K, Wändell P, et al.
BMJ Open 2017 Sep;7(9):e015723.

Clinic continuity of care, clinical outcomes and direct costs for COPD in Sweden: a population based cohort study.
Sveréus S, Larsson K, Rehnberg C.
Eur Clin Respir J 2017 ;4(1):1290193.

Injuries in Swedish floorball: a cost analysis.
Tranaeus U, Heintz E, Johnson U, Forssblad M, Werner S.
Scand J Med Sci Sports. 2017 May;27(5):508-513.

Is the acute care of frail elderly patients in a comprehensive geriatric assessment unit superior to conventional acute medical care?
Ekerstad N, Karlson BW, Dahlin Ivanoff S, Landahl S, Andersson D, Heintz E, Husberg M, Alwin J.
Clin Interv Aging. 2016 Dec 16;12:1-9.

Reports (2020-)


Degerlund Maldi K, Dahlgren C, Hagman M, Ljunggren G, Nystrand C, Rehnberg C, Åhlén J, Åström M. Hur används videobesök av personer med psykiatriska tillstånd? Stockholm centrum för hälsoekonomi. Centrum för hälsoekonomi, informatik och sjukvårdsforskning, Region Stockholm; 2022. Rapport 2022:5.

Zethraeus N, Degerlund Maldi K, Fagersand M, Lauritsen T. Hälsoekonomiska konsekvenser av utvidgad egenprovtagning i Region Stockholm – sammanfattning av preliminära resultat. Stockholm centrum för hälsoekonomi, Region Stockholm; 2022. Rapport 2022:4

Heintz E, Degerlund Maldi K, Sharma A, Simarmata B, Davidson T. Externa effekter hos närstående vid beslut om subvention av läkemedel - En översikt av hälsoekonomisk litteratur samt diskussion av konsekvenser vid tillämpning i en svensk kontext. Health Economics and Policy, Institutionen för Lärande, Informatik, Management och Etik (LIME), Karolinska Institutet, 2022. Rapport 2022:1

Fagersand M, Degerlund Maldi K, Carlens C, Pettersson S, Di Giuseppe D, Ljung L, Heintz E. Budgetpåverkan av uppföljning och teamrehabilitering vid etablerad reumatoid artrit. Hälsoekonomiskt underlag för personcentrerat och sammanhållet vårdförlopp etablerad reumatoid artrit (RA). Centrum för hälsoekonomi, informatik och sjukvårdsforskning, Region Stockholm; 2022. Rapport 2022:1


Dahlgren C, Goude F, Hagman M, Sveréus S. Konsumtionsvolymer och diagnospanorama för digitala och fysiska besök i primärvården under covid-19 pandemin. Covid-19-pandemin och digitalt vårdutnyttjande – Delrapport 1. Centrum för hälsoekonomi, informatik och sjukvårdsforskning, Region Stockholm; 2021. Rapport 2021:1.

Sveréus S, Dahlgren C, Goude F, Hagman M. Konsumtion av digitala och fysiska besök i primärvården för olika grupper i befolkningen under covid-19-pandemin. Covid-19-pandemin och digitalt vårdutnyttjande – Delrapport 2. Centrum för hälsoekonomi, informatik och sjukvårdsforskning, Region Stockholm; 2021. Rapport 2021:2.

Nationellt system för kunskapsstyrning, Hälso- och sjukvård, Sveriges regioner i samverkan. Konsekvensbeskrivning för personcentrerat och sammanhållet vårdförlopp - Sepsis. 2021.


Dahlgren C, Hagman M, Sveréus S, Rehnberg C. Vilka grupper använder digital vård i Region Stockholm? En kartläggning av konsumtionen av digitala vårdbesök 2016–2018. Centrum för hälsoekonomi, informatik och sjukvårdsforskning, Region Stockholm; 2020. Rapport 2020:3.

Dissertations (2020-)


Dahlgren C. Do patients behave as expected on a healthcare market in transition? : consequences of expanding patient choice and introducing telemedicine in primary healthcare. Karolinska Institutet, 2021, supervisor: Clas Rehnberg. 

Åström M. Measurement and valuation of health among children and adolescents using the EQ-5D-Y  - Methodological considerations and implications. Karolinska Institutet, 2021, supervisor: Kristina Burström.

Ernstsson E. Making use of patient-reported outcome measures in health care : the case of EQ-5D in the Swedish national quality registries. Karolinska Institutet, 2021, supervisor: Niklas Zethraeus.

Goude F. Hips don't lie - the use of benchmarking and register data to assess the performance of orthopaedic care. Karolinska Institutet, 2021, supervisor: Clas Rehnberg.


Ahmed S. Healthcare Financing Challenges and Opportunities to Achieving Universal Health Coverage in the Low- and Middle-Income Country Context. Karolinska Institutet, 2020, supervisor: Jahangir Khan.