Quality-Adjusted Life Years Lost from Nonfatal Motor Vehicle Accident Injuries

John A. Nyman, Nathan A. Barleen and Phatta Kirdruang
Additional contact information
John A. Nyman: Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, nyman001@umn.edu
Nathan A. Barleen: Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis
Phatta Kirdruang: Department of Applied Economics, University of Minnesota, St. Paul

Medical Decision Making, 2008, vol. 28, issue 6, 819-828

Abstract: Background . A number of studies have estimated the quality-adjusted life years (QALYs) lost from nonfatal motor vehicle accident injuries, but these estimates have a number of limitations. Objectives . The goal of this study is to estimate the QALYs lost from the typical motor vehicle accident injury based on 1) data obtained through a standard preference elicitation procedure, 2) both permanent and nonpermanent injuries, and 3) a more realistic baseline quality-of-life level from which to determine the QALY decrement. This study also intends to demonstrate the advantages of using self-reported health status as the basis for determining a change in QALYs. Research Design . Ordered probit equations were estimated to determine the change in self-reported health status associated with 3 categories of injuries. These results were next converted to their marginal effects and weighted by the quality-of-life estimates for self-reported health status found in Nyman and others (2007). The quality-of-life decrements for the 3 categories of injury were then converted to QALY decrements by applying estimates of the duration of that injury type. Subjects . The data came from 8 years of the Medical Expenditure Panel Survey (MEPS), from 1997 to 2004. Measures . Self-reported health status categories were excellent, very good, good, fair, or poor. Results . The reference case decrement for an average motor vehicle accident injury is 0.0612 QALYs or 0.0360 QALYs, if discounted at 3%. Conclusions . Quality-of-life weights for self-reported health status can be used to exploit the data in large national surveys.

Keywords: motor vehicle accident injuries; QALYs; self-reported health status; MEPS. (search for similar items in EconPapers)
Date: 2008
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:28:y:2008:i:6:p:819-828

DOI: 10.1177/0272989X08318463

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