How Well Do the Generic Multiattribute Utility In

Authors: Katherine J Stevens

Publish Date: 2015/02/08

Volume: 9, Issue: 1, Pages: 5-13

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Abstract

Multiattribute utility instruments MAUIs are increasingly being used to generate utility data which can be used to calculate qualityadjusted lifeyears QALYs These QALY data can then be incorporated into a cost–utility analysis as part of an economic evaluation to inform health care resource allocation decisions Many health care decisionmaking bodies around the world such as the National Institute for Health and Care Excellence require the use of generic MAUIs Recently there has been a call for greater input of patients into the development of patientreported outcome measures and this is now actively encouraged By incorporating the views of patients greater validity of an instrument is expected and it is more likely that patients will be able to selfcomplete the instrument which is the ideal when obtaining information about a patient’s healthrelated quality of life This paper examines the stages of MAUI development and the scope for patient and/or public involvement at each stage The paper then reviews how much the main generic MAUIs have incorporated the views of patients/the public into the development of their descriptive systems at each of these stages and the implications of this The review finds that the majority of MAUIs had very little input from patients/the public Instead existing literature and/or the views of experts were used If we wish to incorporate patient/public views into future development of MAUIs qualitative methods are recommended

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