Multiattribute and Single-Attribute Utility Functions for the Health Utilities Index Mark 3 System

Abstract

The HUI3 scoring function has strong theoretical and empirical foundations. It performs well in predicting directly measured scores. The HUI3 system provides a practical way to obtain utility scores based on community preferences.

Natural History of Vanishing White Matter

“…The attribute utility scores of the HUI not only represent a measure of health status, but also embody the subjective views of society on objectively defined health status features, as obtained from a random sample of 504 people from Canada 23. Remarkably, despite one‐third of HUI Health Index scores representing a “worse than dead” health state, most patients were perceived as “happy” or “somewhat happy” (scores on the attribute Emotion).…”

“…We measured 1 attribute of the HUI Mark 2 (HUI2) on Self‐Care. We used HUI decision tables to generate HUI2 and HUI3 single‐attribute utility scores22, 23 and applied coding algorithms to obtain overall HUI3 Health Index scores (see Supplementary Table 1C). 23 The latter represent the patient's state on a scale from 0 (equivalent to death) to 1 (equivalent to perfect health).…”

“…We used HUI decision tables to generate HUI2 and HUI3 single‐attribute utility scores22, 23 and applied coding algorithms to obtain overall HUI3 Health Index scores (see Supplementary Table 1C). 23 The latter represent the patient's state on a scale from 0 (equivalent to death) to 1 (equivalent to perfect health). The minimum is a negative score (−0.36); all negative scores indicate a state rated “worse than dead” in the preference survey among the general population 23.…”

“…23 The latter represent the patient's state on a scale from 0 (equivalent to death) to 1 (equivalent to perfect health). The minimum is a negative score (−0.36); all negative scores indicate a state rated “worse than dead” in the preference survey among the general population 23. For missing data, we applied inspection and logical deduction according to published guidelines 24.…”

Preference‐based condition‐specific measures of health: what happens to cross programme comparability?

“…QALYs are increasingly calculated using generic preference-based measures of health, such as EQ-5D (Brooks, 1996) or HUI-3 (Feeny et al, 2002). It has been claimed that 'generic' preference-based measures are applicable to all interventions and patient groups.…”