A social preference valuations set for EQ-5D health states in Flanders, Belgium

Eur J Health Econ. 2010 Apr;11(2):205-13. doi: 10.1007/s10198-009-0167-0. Epub 2009 Jul 7.


This study aimed at deriving a preference valuation set for EQ-5D health states from the general Flemish public in Belgium. A EuroQol valuation instrument with 16 health states to be valued on a visual analogue scale was sent to a random sample of 2,754 adults. The initial response rate was 35%. Eventually, 548 (20%) respondents provided useable valuations for modeling. Valuations for 245 health states were modeled using a random effects model. The selection of the model was based on two criteria: health state valuations must be consistent, and the difference with the directly observed valuations must be small. A model including a value decrement if any health dimension of the EQ-5D is on the worst level was selected to construct the social health state valuation set. A comparison with health state valuations from other countries showed similarities, especially with those from New Zealand. The use of a single preference valuation set across different health economic evaluations within a country is highly preferable to increase their usability for policy makers. This study contributes to the standardization of outcome measurement in economic evaluations in Belgium.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Belgium
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Models, Econometric
  • Pain Measurement
  • Quality of Life*
  • Quality-Adjusted Life Years
  • Reference Values
  • Regression Analysis
  • Sickness Impact Profile*
  • Social Values*
  • Surveys and Questionnaires