Systematic research of utility theory in clinical economics

2013 Fiscal Year Final Research Report

• Project/Area Number: 23590625
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• Research Institution: Niigata University of Health and Welfare
• Principal Investigator: NOTO Shinichi 新潟医療福祉大学, 医療技術学部, 教授 (00339954)
• Project Period (FY): 2011 – 2013
• Keywords: 医療経済学

Research Abstract

The purpose of this study is to verify the theoretical background for that health utility for calculating quality-adjusted life years (QALY) in clinical economics, and to carry out the ethical issue for Japanese clinical policy. The application of utility theory to clinical economics spread out in the 1980s, we found that a growth in the application of the econometrics than utility theory in itself now. In particular, studies using the discrete choice experiment method increased.
On the other hand, about the health states for "worse than dead (WTD)" that was one of the ethical issue of utility theory, we found that there wasn't large difference of value for WTD between Japan and UK.

Research Products

• [Journal Article] 生活行為向上マネジメントと経済的効果に関する検証 (2013)
  • Author(s): 能登真一
  • Journal Title: 日本作業療法士協会誌 Volume: 17 Pages: 28-29
• [Journal Article] 医療経済評価研究における分析手法に関するガイドライン (2013)
  • Author(s): 福田敬,白岩健,池田俊也,五十嵐中,赤沢学,石田博,能登真一,齋藤信也,坂巻弘之,下妻晃二郎,田倉智之,福田治久,森脇健介,冨田菜穂子,小林慎
  • Journal Title: 保健医療科学 Volume: 62 Pages: 625-640
• [Journal Article] 医療経済からみたリハビリテーションの成果と効果 (2013)
  • Author(s): 能登真一
  • Journal Title: 専門リハ Volume: 12 Pages: 2-6
• [Journal Article] (2013)
  • Author(s): Moriwaki K, Komaba H, Noto S, Yanagisawa S, Takiguchi T, Inoue H, Toujo T, Fukagawa M, Takahashi HE
  • Journal Title: J Bone Miner Res Volume: 28 Pages: 395-403
• [Journal Article] 医療資源配分とQALYに関する倫理的側面からの考察 (2012)
  • Author(s): 齋藤信也,児玉聡,白岩健,下妻晃二郎,能登真一,後藤玲子
  • Journal Title: 薬剤疫学 Volume: 17 Pages: 47-53
• [Journal Article] 世界で医療経済評価はどのように用いられているか?7ヶ国の比較調査結果と日本での応用可能性について (2012)
  • Author(s): 福田敬,白岩健,五十嵐中,小林慎,池田俊也,能登真一,下妻晃二郎,坂巻弘之
  • Journal Title: 医療経済研究 Volume: 23 Pages: 147-164
• [Journal Article] 脳疾患患者における健康関連QOL尺度の検討項目反応理論による識別力・難易度の推定 (2012)
  • Author(s): 泉良太,能登真一,上村隆元
  • Journal Title: Quality of Life Journal Volume: 13 Pages: 93-102
• [Presentation] Comparing the performance of the EQ-5D-5L with the EQ-5D-3L in stroke patients in Japan (2013)
  • Author(s): Noto S, Izumi R, Moriwaki K, Igarashi A, Ikeda S, Fukuda T, Shiroiwa T, Kobayashi M, Saito S, Shimozuma K
  • Organizer: ISPOR 16th Annual European Congress
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 20131102-06
• [Presentation] Cost-effectiveness analysis of alendronate therapy for secondary prevention of osteoporotic fractures (2013)
  • Author(s): Moriwaki K, Komaba H, Noto S, Yanagisawa S, Takiguchi T, Toujou T, Inoue H, Fukunaga M, Takahashi HE
  • Organizer: ISPOR 16th Annual European Congress
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 20131102-06
• [Presentation] Predicting EQ-5D utility scores from SF-36 scores in patients with rheumatoid arthritis in Japan (2013)
  • Author(s): Moriwaki K, Ito S, Kobayashi D, Noto S, Yanagisawa S, Toujou T, Murasawa A
  • Organizer: ISPOR 16th Annual European Congress
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 20131102-06
• [Presentation] Basic attitude towards health care resource allocation decision making in Japanese people-Utilitarianism or Egalitarianism? (2013)
  • Author(s): Saito S, Shiroiwa T, Shimozuma K, Kodama S, Noto S, Fukuda T
  • Organizer: ISPOR 16th Annual European Congress
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 20131102-06
• [Presentation] Measurement of societal medical care preferences with the same cost per qaly : A discrete choice study (2013)
  • Author(s): Shiroiwa T, Saito S, Shimozuma K, Kodama S, Noto S, Fukuda T
  • Organizer: ISPOR 16th Annual European Congress
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 20131102-06
• [Presentation] Proposal of economic evaluation guideline in Japan (2013)
  • Author(s): Fukuda T, Akazawa M, Fukuda H, Igarashi A, Ikeda S, Ishida H, Kobayashi M, Moriwaki K, Noto S, Sakamaki H, Saito S, Shimozuma K, Shiroiwa T, Takura T, Tomita N
  • Organizer: ISPOR 16th Annual European Congress
  • Place of Presentation: Dublin, Ireland
  • Year and Date: 20131102-06
• [Presentation] Comparison of three utility measures using item response theory analysis in stroke patients (2013)
  • Author(s): Izumi R, Noto S, Uemura T, Ikeda S, Fukuda T
  • Organizer: 20th Annual Conference of the International Society for Quality of Life Research
  • Place of Presentation: Miami, Florida, USA
  • Year and Date: 20131009-12
• [Presentation] 医療資源配分に対する黙認の意向について平等主義か功利主義か (2013)
  • Author(s): 齋藤信也,白岩健,福田敬,下妻晃二郎,能登真一
  • Organizer: 第51回日本医療・病院管理学会
  • Place of Presentation: 京都
  • Year and Date: 20130913-14
• [Presentation] 関節リウマチ治療の医療経済評価のための基盤データの構築-疾患活動性と健康関連QOLに関する探索的解析- (2013)
  • Author(s): 森脇健介,伊藤聡,小林大介,能登真一,村澤章,東條猛
  • Organizer: 第25回中部リウマチ学会
  • Place of Presentation: 金沢
  • Year and Date: 20130906-07
• [Presentation] 一般集団を対象としたEQ-5DによるQOL調査 (2013)
  • Author(s): 池田俊也,五十嵐中,白岩健,能登真一,福田敬
  • Organizer: 第3回国際医療福祉大学学会
  • Place of Presentation: 栃木
  • Year and Date: 20130831-0901
• [Presentation] 大腿骨近位部骨折患者における健康関連QOLに影響を及ぼす因子の変化 (2013)
  • Author(s): 泉良太,佐野哲也,宮本靖大,能登真一,上村隆元
  • Organizer: 第47回日本作業療法学会
  • Place of Presentation: 大阪
  • Year and Date: 20130628-30
• [Presentation] 項目反応理論を用いた脳卒中患者におけるEQ-5D-3LとEQ-5D-5Lの比較 (2013)
  • Author(s): 泉良太,能登真一,池田俊也,福田敬,白岩健,五十嵐中
  • Organizer: 第1回QOL/PRO研究会学術集会
  • Place of Presentation: 京都
  • Year and Date: 2013-12-23
• [Presentation] 脳卒中患者におけるEQ-5D-3L,EQ-5D-5L,HUI3の測定特性の検討‐項目反応理論分析を用いて (2013)
  • Author(s): 泉良太,能登真一,上村隆元,池田俊也,福田敬
  • Organizer: 第8回医療経済学会
  • Place of Presentation: 東京
  • Year and Date: 2013-09-07
• [Presentation] Change in health-related quality of life after occupational therapy in community-dwelling dependent elderly : a randomized controlled trial (2012)
  • Author(s): Noto S, Uemura T, Moriwaki K
  • Organizer: ISPOR 15th annual European congress
  • Place of Presentation: Berlin, Germany
  • Year and Date: 20121103-07
• [Presentation] Development and validation of a health economic model for corticosteroid-induced osteoporosis in postmenopausal women with rheumatoid arthritis in Japan (2012)
  • Author(s): Moriwaki K, Noto S, Yanagisawa S, Ito S, Toujo T
  • Organizer: ISPOR 5th Asia-Pacific Conference
  • Place of Presentation: Taipei, Taiwan
  • Year and Date: 20120902-04
• [Presentation] 脳疾患患者の健康関連QOLに影響を及ぶ酢因子 (2012)
  • Author(s): 泉良太,佐野哲也,宮本靖大,能登真一,上村隆元
  • Place of Presentation: 宮崎
  • Year and Date: 20120615-17