PharmacoEconomics

, Volume 7, Issue 6, pp 490–502

Multi-Attribute Health Status Classification Systems

Health Utilities Index
  • David Feeny
  • William Furlong
  • Michael Boyle
  • George W. Torrance
Review Article Health Status Classification Systems

DOI: 10.2165/00019053-199507060-00004

Cite this article as:
Feeny, D., Furlong, W., Boyle, M. et al. Pharmacoeconomics (1995) 7: 490. doi:10.2165/00019053-199507060-00004

Summary

In this article, multi-attribute approaches to the assessment of health status are reviewed with a special focus on 2 recently developed systems, the Health Utilities Index (HUI) Mark II and Mark III systems. The Mark II system consists of 7 attributes: sensation, mobility, emotion, cognition, self-care, pain and fertility. The Mark III system contains 8 attributes: vision, hearing, speech. ambulation, dexterity, emotion, cognition and pain. Each attribute consists of multiple levels of functioning. A combination of levels across Ihe attributes constitutes a health state.

The HUI systems are deliberately focused on the fundamental core attributes of health status. and on the capacity of individuals to function with respect to these aHributes. Thus, the measure obtained constitutes a pure description of health status. uncontaminated by differential opportunity or preference.

Multi-attribute systems provide a compact but comprehensive framework for describing health status for use in population health and programme evaluation studies. An important advantage of such systems is their ability 10 simultaneously provide detail on an allribute-by-attribute basis and to capture combinations of deficits among attributes. An additional advantage is their compatibility with multi-attribute preference functions. which provide a method for computing a summary health-related quality-of-life score for each health state

Copyright information

© Adis International Limited 1995

Authors and Affiliations

  • David Feeny
    • 1
    • 3
  • William Furlong
    • 1
    • 2
  • Michael Boyle
    • 1
    • 4
  • George W. Torrance
    • 1
    • 2
    • 5
  1. 1.Department of Clinical Epidemiology and Biostatistics, Centre for Health Economics and Policy AnalysisMcMaster UniversityHamiltonCanada
  2. 2.Centre for Health Economics and Policy AnalysisMcMaster UniversityHamiltonCanada
  3. 3.Department of EconomicsMcMaster UniversityHamiltonCanada
  4. 4.Department of PsychiatryMcMaster UniversityHamiltonCanada
  5. 5.Department of Management ScienceMcMaster UniversityHamiltonCanada