## Abstract The person trade‐off (PTO) technique has been suggested as a means of eliciting social preferences for health care, both the valuation of health care interventions and, more recently, to inform on the weights that society may attach to other decision‐making criteria (e.g. the severity o
Test–retest reliability of health state valuation techniques: the time trade off and person trade off
✍ Scribed by Suzanne Robinson
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 140 KB
- Volume
- 20
- Category
- Article
- ISSN
- 1057-9230
- DOI
- 10.1002/hec.1677
No coin nor oath required. For personal study only.
✦ Synopsis
Economic analysis is increasingly being employed in formal resource allocation decision-making processes in health care. As a consequence, the methods employed by economic analysts are increasingly subject to close scrutiny. One such area of methodology concerns the instruments used to elicit preferences for various health states for use in the construction of quality-adjusted life years. There are a number of techniques which may be used to elicit preferences and different techniques produce different results. The objective of this study was to explore the test-retest reliability of two techniques: Time Trade Off (TTO) and Person Trade Off (PTO) valuations were collected by a general population postal survey.
A total of 798 respondents returned questionnaires. The intra class correlation coefficients ranged from 0.40 to 0.88 for TTO and, À0.17 to 0.82 for PTO, with the majority of coefficients being 40.50. The reliability coefficients varied between techniques and health states, with the TTO technique tending to produce higher coefficients. While the reliability results for TTO were generally positive, the reliability results for PTO are less clear.
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## Abstract This paper directly compares the relative sensitivity of time‐trade‐off (TTO) and willingness‐to‐pay (WTP) values obtained for various levels of change in health status. This was achieved by administering a TTO and WTP survey to a population of 50 subjects, assessing their valuation of
The way time trade off (TTO) values are elicited for states of health considered 'worse than being dead' has important implications for the mean values used in economic evaluation. Conventional approaches to TTO, as used in the UK's 'MVH' value set, are problematic because they require fundamentally