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Article ; Online: A Spanish value set for the SF-6D based on the SF-12 v1.

Martínez-Pérez, Jorge-Eduardo / Abellán-Perpiñán, José-María / Sánchez-Martínez, Fernando-Ignacio / Ruiz-López, Juan-José

The European journal of health economics : HEPAC : health economics in prevention and care

2024

Abstract: Aim: This paper reports the first estimation of an SF-6D value set based on the SF-12 for Spain.: Methods: A representative sample (n = 1020) of the Spanish general population valued a selection of 56 hypothetical SF-6D health states by means of a ... ...

Abstract	Aim: This paper reports the first estimation of an SF-6D value set based on the SF-12 for Spain. Methods: A representative sample (n = 1020) of the Spanish general population valued a selection of 56 hypothetical SF-6D health states by means of a probability lottery equivalent (PLE) method. The value set was derived using both random effects and mean models estimated by ordinary least squares (OLS). The best model was chosen on the basis of its predictive ability assessed in terms of mean absolute error (MAE). Results: The model yielding the lowest MAE (0.075) was that based on main effects using OLS. Pain was the most significant dimension in predicting health state severity. Comparison with the previous SF-6D (SF-36) model estimated for Spain revealed no significant differences, with a similar MAE (0.081). Nevertheless, the new SF-6D (SF-12) model predicted higher utilities than those generated by the SF-6D (SF-36) scoring algorithm (minimum value - 0.071 vs - 0.357). Conclusion: A value set for the SF-6D (SF-12) based on Spanish general population preferences elicited by means of a PLE technique is successfully estimated. The new estimated SF-6D (SF-12) preference-based measure provides a valuable tool for researchers and policymakers to assess the cost-effectiveness of new health technologies in Spain.
Language	English
Publishing date	2024-02-01
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2045253-6
ISSN	1618-7601 ; 1618-7598
ISSN (online)	1618-7601
ISSN	1618-7598
DOI	10.1007/s10198-023-01657-9
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Article ; Online: Design of a multiple criteria decision analysis framework for prioritizing high-impact health technologies in a regional health service.

Sánchez-Martínez, Fernando-Ignacio / Abellán-Perpiñán, José-María / Martínez-Pérez, Jorge-Eduardo / Gómez-Torres, Jorge-Luis

International journal of technology assessment in health care

2024 Volume 40, Issue 1, Page(s) e21

Abstract: Objectives: This study aims to develop a framework for establishing priorities in the regional health service of Murcia, Spain, to facilitate the creation of a comprehensive multiple criteria decision analysis (MCDA) framework. This framework will aid ... ...

Abstract	Objectives: This study aims to develop a framework for establishing priorities in the regional health service of Murcia, Spain, to facilitate the creation of a comprehensive multiple criteria decision analysis (MCDA) framework. This framework will aid in decision-making processes related to the assessment, reimbursement, and utilization of high-impact health technologies. Method: Based on the results of a review of existing frameworks for MCDA of health technologies, a set of criteria was proposed to be used in the context of evaluating high-impact health technologies. Key stakeholders within regional healthcare services, including clinical leaders and management personnel, participated in a focus group (n = 11) to discuss the proposed criteria and select the final fifteen. To elicit the weights of the criteria, two surveys were administered, one to a small sample of healthcare professionals (n = 35) and another to a larger representative sample of the general population (n = 494). Results: The responses obtained from health professionals in the weighting procedure exhibited greater consistency compared to those provided by the general public. The criteria more highly weighted were "Need for intervention" and "Intervention outcomes." The weights finally assigned to each item in the multicriteria framework were derived as the equal-weighted sum of the mean weights from the two samples. Conclusions: A multi-attribute function capable of generating a composite measure (multicriteria) to assess the value of high-impact health interventions has been developed. Furthermore, it is recommended to pilot this procedure in a specific decision context to evaluate the efficacy, feasibility, usefulness, and reliability of the proposed tool.
MeSH term(s)	Technology Assessment, Biomedical/organization & administration ; Humans ; Spain ; Decision Support Techniques ; Focus Groups ; Health Priorities ; Decision Making ; Male ; Female ; Middle Aged ; Adult
Language	English
Publishing date	2024-04-05
Publishing country	England
Document type	Journal Article
ZDB-ID	632573-7
ISSN	1471-6348 ; 0266-4623
ISSN (online)	1471-6348
ISSN	0266-4623
DOI	10.1017/S0266462324000205
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Article ; Online: Nudges y la pandemia: un análisis desde la economía y el derecho conductual. Informe SESPAS 2022.

Abellán-Perpiñán, José María / Cierco Seira, César / Jimenez-Gomez, David

Gaceta sanitaria

2022 Volume 36 Suppl 1, Page(s) S93–S96

Abstract: Behavioural economics (a combination of economics and psychology) provides keys to understand decisions made by politicians and citizens along the COVID-19 pandemic through the so-called cognitive biases. These biases can be offset by implementing ... ...

Title translation	Nudges and the pandemic: An analysis from economics and behavioural law. SESPAS Report 2022.
Abstract	Behavioural economics (a combination of economics and psychology) provides keys to understand decisions made by politicians and citizens along the COVID-19 pandemic through the so-called cognitive biases. These biases can be offset by implementing behavioural interventions named "nudges" in order to promote responsible behaviours in the "new normality". This paper analyses, from a behavioural economics perspective, past, present and future of behavioural aspects surrounding the pandemic. Besides, this paper proposes different ways to formalize nudges according to law, which needs the fulfilment of three minimum requirements, namely: transparency, non-arbitrariness and efficiency. Furthermore, it is also suggested that protocols and contingency plans are set up to face future pandemics, in which both soft (nudge-type) interventions and hard legal regulations play different roles but complementary ones. Nudges can be implemented in a fast and less coercive way, so they are particularly suitable for changing mild misbehaviour, reserving legal sanctions for the more serious ones.
MeSH term(s)	COVID-19/epidemiology ; Economics, Behavioral ; Health ; Humans ; Pandemics
Language	Spanish
Publishing date	2022-04-20
Publishing country	Spain
Document type	Journal Article ; Review
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2022.03.004
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Article ; Online: Testing Nonmonotonicity in Health Preferences.

Abellan-Perpiñan, Jose-Maria / Martinez-Perez, Jorge-Eduardo / Pinto-Prades, Jose-Luis / Sanchez-Martinez, Fernando-Ignacio

Medical decision making : an international journal of the Society for Medical Decision Making

2023 Volume 44, Issue 1, Page(s) 42–52

Abstract: Objective: The main aim of this article is to test monotonicity in life duration. Previous findings suggest that, for poor health states, longer durations are preferred to shorter durations up to some threshold or maximum endurable time (MET), and ... ...

Abstract	Objective: The main aim of this article is to test monotonicity in life duration. Previous findings suggest that, for poor health states, longer durations are preferred to shorter durations up to some threshold or maximum endurable time (MET), and shorter durations are preferred to longer ones after that threshold. Methods: Monotonicity in duration is tested through 2 ordinal tasks: choices and rankings. A convenience sample ( Results: Monotonicity is frequently violated across the 7 EQ-5D health states. Preference patterns for individuals describe violations ranging from almost 49% with choices to about 71% with rankings. Analysis performed by separate states shows that the mean rates of violations with choices and ranking are about 22% and 34%, respectively. We also find new evidence of preference reversals and some evidence-though scarce-of transitivity violations in choices. Conclusions: Our results show that there is a medium range of health states for which preferences are nonmonotonic. These findings support previous evidence on MET preferences and introduce a new "choice-ranking" preference reversal. It seems that the use of 2 tasks with a similar response scale may make preference reversals less substantial, although it remains important and systematic. Highlights: Two procedures based on ordinal comparisons are used to elicit preferences: direct choices and rankings. Our study reports significant rates of nonmonotonic preferences (or maximum endurable time [MET]-type preferences) for different combinations of durations and EQ-5D health states.Analysis for separate health states shows that the mean rates of nonmonotonicity range from 22% (choices) to 34% (rankings), but within-subject analysis shows that nonmonotonicity is even higher, ranging from 49% (choices) to 71% (rankings). These violations challenge the validity of multiplicative QALY models.We find that the MET phenomenon may affect particularly those EQ-5D health states that are in the middle of the severity scale and not so much the extreme health states (i.e., very mild and very severe states).We find new evidence of preference reversals even using 2 procedures of a similar (ordinal) nature. Percentage rates of preference reversals range from 1.5% to 33%. We also find some (although scarce) evidence on violations of transitivity.
MeSH term(s)	Humans ; Quality of Life ; Quality-Adjusted Life Years ; Time Factors ; Research Design ; Health Status ; Surveys and Questionnaires
Language	English
Publishing date	2023-11-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	604497-9
ISSN	1552-681X ; 0272-989X
ISSN (online)	1552-681X
ISSN	0272-989X
DOI	10.1177/0272989X231207814
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Article ; Online: Behavioral Economics in the Epidemiology of the COVID-19 Pandemic: Theory and Simulations.

Marin-Lopez, Blas A / Jimenez-Gomez, David / Abellán-Perpiñán, José-María

International journal of environmental research and public health

2022 Volume 19, Issue 15

Abstract: We provide a game-theoretical epidemiological model for the COVID-19 pandemic that takes into account that: (1) asymptomatic individuals can be contagious, (2) contagion is behavior-dependent, (3) behavior is determined by a game that depends on beliefs ... ...

Abstract	We provide a game-theoretical epidemiological model for the COVID-19 pandemic that takes into account that: (1) asymptomatic individuals can be contagious, (2) contagion is behavior-dependent, (3) behavior is determined by a game that depends on beliefs and social interactions, (4) there can be systematic biases in the perceptions and beliefs about the pandemic. We incorporate lockdown decisions by the government into the model. The citizens' and government's beliefs can exhibit several biases that we discuss from the point of view of behavioral economics. We provide simulations to understand the effect of lockdown decisions and the possibility of "nudging" citizens in the right direction by improving the accuracy of their beliefs.
MeSH term(s)	COVID-19/epidemiology ; Communicable Disease Control ; Economics, Behavioral ; Government ; Humans ; Pandemics
Language	English
Publishing date	2022-08-03
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19159557
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Article: Some reflections on the use of inappropriate comparators in CEA.

Sacristán, José Antonio / Abellán-Perpiñán, José-María / Dilla, Tatiana / Soto, Javier / Oliva, Juan

Cost effectiveness and resource allocation : C/E

2020 Volume 18, Page(s) 29

Abstract: Although the choice of the comparator is one of the aspects with a highest effect on the results of cost-effectiveness analyses, it is one of the less debated issues in international methodological guidelines. The inclusion of an inappropriate comparator ...

Abstract	Although the choice of the comparator is one of the aspects with a highest effect on the results of cost-effectiveness analyses, it is one of the less debated issues in international methodological guidelines. The inclusion of an inappropriate comparator may introduce biases on the outcomes and the recommendations of an economic analysis. Although the rules for cost-effectiveness analyses of sets of mutually exclusive alternatives have been widely described in the literature, in practice, they are hardly ever applied. In addition, there are many cases where the efficiency of the standard of care has never been assessed; or where the standard of care has demonstrated to be cost-effective with respect to a non-efficient option. In all these cases the comparator may lie outside the efficiency frontier, so the result of the CEA may be biased. Through some hypothetical examples, the paper shows how the complementary use of an independent reference may help to identify potential inappropriate comparators and inefficient use of resources.
Language	English
Publishing date	2020-08-27
Publishing country	England
Document type	Journal Article
ISSN	1478-7547
ISSN	1478-7547
DOI	10.1186/s12962-020-00226-8
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Article ; Online: Cómo articular la cooperación en red de los recursos sobre conocimiento y evaluación en salud y servicios sanitarios en España. ¿Hacia un HispaNICE?

Abellán Perpiñán, José María / Martínez Pérez, Jorge Eduardo

Gaceta sanitaria

2016 Volume 30 Suppl 1, Page(s) 14–18

Abstract: Although the Spanish Network of Health Technology Assessment was founded in 2012, it is true that its actual influence on the rationalization of the National Health System's healthcare basket is scarce. The main argument of this article is that the ... ...

Title translation	How it should be enabled network cooperation on healthcare services. Towards an HispaNICE?
Abstract	Although the Spanish Network of Health Technology Assessment was founded in 2012, it is true that its actual influence on the rationalization of the National Health System's healthcare basket is scarce. The main argument of this article is that the Spanish Network of HTA should work "as if" it was an HispaNICE. That is to say, transferring the NICE's advantages to Spanish context.
Language	Spanish
Publishing date	2016-11
Publishing country	Spain
Document type	Journal Article ; English Abstract
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2016.07.024
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Article ; Online: Reducing preference reversals: The role of preference imprecision and nontransparent methods.

Pinto-Prades, José Luis / Sánchez-Martínez, Fernando Ignacio / Abellán-Perpiñán, José María / Martínez-Pérez, Jorge E

Health economics

2018 Volume 27, Issue 8, Page(s) 1230–1246

Abstract: Preferences elicited with matching and choice usually diverge (as characterised by preference reversals), violating a basic rationality requirement, namely, procedure invariance. We report the results of an experiment that shows that preference reversals ...

Abstract	Preferences elicited with matching and choice usually diverge (as characterised by preference reversals), violating a basic rationality requirement, namely, procedure invariance. We report the results of an experiment that shows that preference reversals between matching (Standard Gamble in our case) and choice are reduced when the matching task is conducted using nontransparent methods. Our results suggest that techniques based on nontransparent methods are less influenced by biases (i.e., compatibility effects) than transparent methods. We also observe that imprecision of preferences influences the degree of preference reversals. The preference reversal phenomenon is less strong in subjects with more precise preferences.
MeSH term(s)	Adult ; Choice Behavior ; Decision Making ; Gambling ; Humans ; Models, Psychological ; Patient Preference ; Young Adult
Language	English
Publishing date	2018-05-16
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1135838-5
ISSN	1099-1050 ; 1057-9230
ISSN (online)	1099-1050
ISSN	1057-9230
DOI	10.1002/hec.3772
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Article ; Online: La privatización de la gestión sanitaria: efecto secundario de la crisis y síntoma de mal gobierno. Informe SESPAS 2014.

Sánchez-Martínez, Fernando I / Abellán-Perpiñán, José María / Oliva-Moreno, Juan

Gaceta sanitaria

2014 Volume 28 Suppl 1, Page(s) 75–80

Abstract: It is often asserted that public management of healthcare facilities is inefficient. On the basis of that unproven claim, it is argued that privatization schemes are needed. In this article we review the available evidence, in Spain and other countries, ... ...

Title translation	Privatization in healthcare management: an adverse effect of the economic crisis and a symptom of bad governance. SESPAS report 2014.
Abstract	It is often asserted that public management of healthcare facilities is inefficient. On the basis of that unproven claim, it is argued that privatization schemes are needed. In this article we review the available evidence, in Spain and other countries, on the application of private management mechanisms to publicly funded systems similar to the Spanish national health system. The evidence suggests that private management of healthcare services is not necessarily better than public management, nor vice versa. Ownership-whether public or private-of health care centers does not determine their performance which, on the contrary, depends on other factors, such as the workplace culture or the practice of suitable monitoring by the public payer. Promoting competition among centers (irrespective of the specific legal form of the management arrangements), however, could indeed lead to improvements under some circumstances. Therefore, it is advisable to cease the narrow-minded debate on the superiority of one or other model in order to focus on improving healthcare services management per se. Understanding that good governance affects health policies, the management of health care organizations, and clinical practice is, undoubtedly, an essential requirement but may not necessarily lead to policies that stimulate the solvency of the system.
MeSH term(s)	Economic Recession ; Health Services Administration/standards ; Humans ; Privatization ; Spain
Language	Spanish
Publishing date	2014-06
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2014.02.019
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Article ; Online: La valoración monetaria de los costes humanos de la siniestralidad vial en España.

Martínez Pérez, Jorge Eduardo / Sánchez Martínez, Fernando Ignacio / Abellán Perpiñán, José María / Pinto Prades, José Luis

Gaceta sanitaria

2015 Volume 29 Suppl 1, Page(s) 76–78

Abstract: Cost-benefit analyses in the field of road safety compute human costs as a key component of total costs. The present article presents two studies promoted by the Directorate-General for Traffic aimed at obtaining official values for the costs associated ... ...

Title translation	Monetary value of the human costs of road traffic injuries in Spain.
Abstract	Cost-benefit analyses in the field of road safety compute human costs as a key component of total costs. The present article presents two studies promoted by the Directorate-General for Traffic aimed at obtaining official values for the costs associated with fatal and non-fatal traffic injuries in Spain. We combined the contingent valuation approach and the (modified) standard gamble technique in two surveys administered to large representative samples (n1=2,020, n2=2,000) of the Spanish population. The monetary value of preventing a fatality was estimated to be 1.4 million euros. Values of 219,000 and 6,100 euros were obtained for minor and severe non-fatal injuries, respectively. These figures are comparable to those observed in neighboring countries.
MeSH term(s)	Accidents, Traffic/economics ; Accidents, Traffic/mortality ; Accidents, Traffic/prevention & control ; Adult ; Cost of Illness ; Cost-Benefit Analysis ; Cross-Sectional Studies ; Europe ; Humans ; Spain/epidemiology ; Value of Life ; Wounds and Injuries/economics ; Wounds and Injuries/epidemiology ; Wounds and Injuries/etiology
Language	Spanish
Publishing date	2015-09
Publishing country	Spain
Document type	Journal Article
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2015.02.001
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