Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving

Petra Baji; Miklós Farkas; Dominik Golicki; Valentina Prevolnik Rupel; Renske Hoefman; Werner B.F. Brouwer; Job van Exel; Zsombor Zrubka; László Gulácsi; Márta Péntek

doi:10.1007/s40273-020-00899-2

Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving

Petra Baji^*, Miklós Farkas, Dominik Golicki, Valentina Prevolnik Rupel, Renske Hoefman, Werner B.F. Brouwer, Job van Exel, Zsombor Zrubka, László Gulácsi, Márta Péntek

^*Corresponding author for this work

Bristol Medical School (THS)

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

Background: The CarerQol instrument can be used in economic evaluations to measure the care-related quality of life of informal caregivers. Tariff sets are available for Australia, Germany, Sweden, the Netherlands, the UK, and the USA. Objective: Our objective was to develop tariff sets for the CarerQol instrument for Hungary, Poland and Slovenia and to compare these with the existing value sets. Methods: Discrete-choice experiments were carried out in Hungary, Poland and Slovenia. Data were collected through an online survey between November 2018 and January 2019, using representative samples of 1000 respondents per country. Tariffs were calculated from coefficient estimates from panel mixed multinomial logit models with random parameters. Results: All seven CarerQol domains contributed significantly to the utility associated with different caregiving situations. Attributes valued highest were ‘physical health’ (tariffs for no problems were 15.6–21.8), ‘mental health’ (18.1–18.9) and ‘fulfilment’ (16.3–22.9). Value sets were comparable across the countries, although in Poland ‘a lot of fulfilment’ was valued higher (22.9) than in Hungary (16.3) and Slovenia (17.1). Compared with existing value sets, in the three Central European countries, ‘fulfilment’ was more important, whereas ‘financial problems’ were less important. Conclusion: For the first time in the Central and Eastern European region, country-specific tariffs are now available for the Hungarian, Polish and Slovenian versions of the CarerQol instrument. This facilitates inclusion of the impact of informal care in economic evaluations. Our results can be used to develop and evaluate country-specific health policy strategies to support informal caregivers. The differences found in informal care preferences highlight the limited transferability of CarerQol tariffs across European regions.

Original language	English
Pages (from-to)	633-643
Number of pages	11
Journal	PharmacoEconomics
Volume	38
Issue number	6
DOIs	https://doi.org/10.1007/s40273-020-00899-2
Publication status	Published - 1 Jun 2020

Bibliographical note

Funding Information:
This research was supported by the Higher Education Institutional Excellence Program of the Ministry of Human Capacities in the framework of the ‘Financial and Public Services’ research project (20764-3/2018/FEKUTSTRAT) at Corvinus University of Budapest.

Funding Information:
Open access funding provided by Corvinus University of Budapest (BCE).

Funding Information:
In connection with writing this article, PB, MF, and MP received grant support from the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the ‘Financial and Public Services’ research project (NKFIH-1163-10/2019) at Corvinus University of Budapest. DG, VR, RH, WB, JvE, ZZ and LG have no conflicts of interest that are directly relevant to the content of this article.

Publisher Copyright:
© 2020, The Author(s).

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Baji, P., Farkas, M., Golicki, D., Prevolnik Rupel, V., Hoefman, R., Brouwer, W. B. F., van Exel, J., Zrubka, Z., Gulácsi, L., & Péntek, M. (2020). Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving. PharmacoEconomics, 38(6), 633-643. https://doi.org/10.1007/s40273-020-00899-2

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title = "Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving",

abstract = "Background: The CarerQol instrument can be used in economic evaluations to measure the care-related quality of life of informal caregivers. Tariff sets are available for Australia, Germany, Sweden, the Netherlands, the UK, and the USA. Objective: Our objective was to develop tariff sets for the CarerQol instrument for Hungary, Poland and Slovenia and to compare these with the existing value sets. Methods: Discrete-choice experiments were carried out in Hungary, Poland and Slovenia. Data were collected through an online survey between November 2018 and January 2019, using representative samples of 1000 respondents per country. Tariffs were calculated from coefficient estimates from panel mixed multinomial logit models with random parameters. Results: All seven CarerQol domains contributed significantly to the utility associated with different caregiving situations. Attributes valued highest were {\textquoteleft}physical health{\textquoteright} (tariffs for no problems were 15.6–21.8), {\textquoteleft}mental health{\textquoteright} (18.1–18.9) and {\textquoteleft}fulfilment{\textquoteright} (16.3–22.9). Value sets were comparable across the countries, although in Poland {\textquoteleft}a lot of fulfilment{\textquoteright} was valued higher (22.9) than in Hungary (16.3) and Slovenia (17.1). Compared with existing value sets, in the three Central European countries, {\textquoteleft}fulfilment{\textquoteright} was more important, whereas {\textquoteleft}financial problems{\textquoteright} were less important. Conclusion: For the first time in the Central and Eastern European region, country-specific tariffs are now available for the Hungarian, Polish and Slovenian versions of the CarerQol instrument. This facilitates inclusion of the impact of informal care in economic evaluations. Our results can be used to develop and evaluate country-specific health policy strategies to support informal caregivers. The differences found in informal care preferences highlight the limited transferability of CarerQol tariffs across European regions.",

author = "Petra Baji and Mikl{\'o}s Farkas and Dominik Golicki and \{Prevolnik Rupel\}, Valentina and Renske Hoefman and Brouwer, \{Werner B.F.\} and \{van Exel\}, Job and Zsombor Zrubka and L{\'a}szl{\'o} Gul{\'a}csi and M{\'a}rta P{\'e}ntek",

note = "Funding Information: This research was supported by the Higher Education Institutional Excellence Program of the Ministry of Human Capacities in the framework of the {\textquoteleft}Financial and Public Services{\textquoteright} research project (20764-3/2018/FEKUTSTRAT) at Corvinus University of Budapest. Funding Information: Open access funding provided by Corvinus University of Budapest (BCE). Funding Information: In connection with writing this article, PB, MF, and MP received grant support from the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the {\textquoteleft}Financial and Public Services{\textquoteright} research project (NKFIH-1163-10/2019) at Corvinus University of Budapest. DG, VR, RH, WB, JvE, ZZ and LG have no conflicts of interest that are directly relevant to the content of this article. Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2020",

month = jun,

day = "1",

doi = "10.1007/s40273-020-00899-2",

language = "English",

volume = "38",

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Baji, P , Farkas, M, Golicki, D, Prevolnik Rupel, V, Hoefman, R, Brouwer, WBF, van Exel, J, Zrubka, Z, Gulácsi, L & Péntek, M 2020, 'Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving', PharmacoEconomics, vol. 38, no. 6, pp. 633-643. https://doi.org/10.1007/s40273-020-00899-2

Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving. / Baji, Petra ; Farkas, Miklós; Golicki, Dominik et al.
In: PharmacoEconomics, Vol. 38, No. 6, 01.06.2020, p. 633-643.

Research output: Contribution to journal › Article (Academic Journal) › peer-review

TY - JOUR

T1 - Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia

T2 - A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving

AU - Baji, Petra

AU - Farkas, Miklós

AU - Golicki, Dominik

AU - Prevolnik Rupel, Valentina

AU - Hoefman, Renske

AU - Brouwer, Werner B.F.

AU - van Exel, Job

AU - Zrubka, Zsombor

AU - Gulácsi, László

AU - Péntek, Márta

N1 - Funding Information: This research was supported by the Higher Education Institutional Excellence Program of the Ministry of Human Capacities in the framework of the ‘Financial and Public Services’ research project (20764-3/2018/FEKUTSTRAT) at Corvinus University of Budapest. Funding Information: Open access funding provided by Corvinus University of Budapest (BCE). Funding Information: In connection with writing this article, PB, MF, and MP received grant support from the Higher Education Institutional Excellence Program of the Ministry of Innovation and Technology in the framework of the ‘Financial and Public Services’ research project (NKFIH-1163-10/2019) at Corvinus University of Budapest. DG, VR, RH, WB, JvE, ZZ and LG have no conflicts of interest that are directly relevant to the content of this article. Publisher Copyright: © 2020, The Author(s).

PY - 2020/6/1

Y1 - 2020/6/1

N2 - Background: The CarerQol instrument can be used in economic evaluations to measure the care-related quality of life of informal caregivers. Tariff sets are available for Australia, Germany, Sweden, the Netherlands, the UK, and the USA. Objective: Our objective was to develop tariff sets for the CarerQol instrument for Hungary, Poland and Slovenia and to compare these with the existing value sets. Methods: Discrete-choice experiments were carried out in Hungary, Poland and Slovenia. Data were collected through an online survey between November 2018 and January 2019, using representative samples of 1000 respondents per country. Tariffs were calculated from coefficient estimates from panel mixed multinomial logit models with random parameters. Results: All seven CarerQol domains contributed significantly to the utility associated with different caregiving situations. Attributes valued highest were ‘physical health’ (tariffs for no problems were 15.6–21.8), ‘mental health’ (18.1–18.9) and ‘fulfilment’ (16.3–22.9). Value sets were comparable across the countries, although in Poland ‘a lot of fulfilment’ was valued higher (22.9) than in Hungary (16.3) and Slovenia (17.1). Compared with existing value sets, in the three Central European countries, ‘fulfilment’ was more important, whereas ‘financial problems’ were less important. Conclusion: For the first time in the Central and Eastern European region, country-specific tariffs are now available for the Hungarian, Polish and Slovenian versions of the CarerQol instrument. This facilitates inclusion of the impact of informal care in economic evaluations. Our results can be used to develop and evaluate country-specific health policy strategies to support informal caregivers. The differences found in informal care preferences highlight the limited transferability of CarerQol tariffs across European regions.

AB - Background: The CarerQol instrument can be used in economic evaluations to measure the care-related quality of life of informal caregivers. Tariff sets are available for Australia, Germany, Sweden, the Netherlands, the UK, and the USA. Objective: Our objective was to develop tariff sets for the CarerQol instrument for Hungary, Poland and Slovenia and to compare these with the existing value sets. Methods: Discrete-choice experiments were carried out in Hungary, Poland and Slovenia. Data were collected through an online survey between November 2018 and January 2019, using representative samples of 1000 respondents per country. Tariffs were calculated from coefficient estimates from panel mixed multinomial logit models with random parameters. Results: All seven CarerQol domains contributed significantly to the utility associated with different caregiving situations. Attributes valued highest were ‘physical health’ (tariffs for no problems were 15.6–21.8), ‘mental health’ (18.1–18.9) and ‘fulfilment’ (16.3–22.9). Value sets were comparable across the countries, although in Poland ‘a lot of fulfilment’ was valued higher (22.9) than in Hungary (16.3) and Slovenia (17.1). Compared with existing value sets, in the three Central European countries, ‘fulfilment’ was more important, whereas ‘financial problems’ were less important. Conclusion: For the first time in the Central and Eastern European region, country-specific tariffs are now available for the Hungarian, Polish and Slovenian versions of the CarerQol instrument. This facilitates inclusion of the impact of informal care in economic evaluations. Our results can be used to develop and evaluate country-specific health policy strategies to support informal caregivers. The differences found in informal care preferences highlight the limited transferability of CarerQol tariffs across European regions.

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AN - SCOPUS:85082862191

SN - 1170-7690

VL - 38

SP - 633

EP - 643

JO - PharmacoEconomics

JF - PharmacoEconomics

IS - 6

ER -

Development of Population Tariffs for the CarerQol Instrument for Hungary, Poland and Slovenia: A Discrete Choice Experiment Study to Measure the Burden of Informal Caregiving

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