Valuing Health for Regulatory Cost-Effectiveness Analysis (2006) / Chapter Skim
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Appendix B Health Indexes
Appendix B Health Indexes
Pages 245-257
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From page 245... ...
2 Performed no major role activity, health related, but did perform self-care activities. 1 Performed no major role activity, health related, and did not perform or had more help than usual in performance of one or more self-care activities, health related.
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From page 246... ...
19 Taking medication or staying on a prescribed diet for health reasons. 18 Pain in ear, tooth, jaw, throat, lips, tongue; several missing or crooked permanent teeth -- includes wearing bridges or false teeth; stuffy, runny nose; or any trouble hearing- includes wearing a hearing aid.
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From page 247... ...
2 Occasionally fretful, angry, irritable, anxious, depressed, or suffering "night terrors." 3 Often fretful, angry, irritable, anxious, depressed, or suffering "night terrors." 4 Almost always fretful, angry, irritable, anxious, depressed. 5 Extremely fretful, angry, irritable, anxious, or depressed usually requiring hospitalization or psychiatric institutional care.
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From page 248... ...
5 Severe pain. Pain not relieved by drugs and constantly disrupts normal activities.
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From page 249... ...
2 Able to be understood partially when speaking with strangers but able to be understood completely when speaking with people who know me well. 3 Able to be understood partially when speaking with strangers or people who know me well.
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From page 250... ...
DEXTERITY 1 Full use of two hands and ten fingers. 2 Limitations in the use of hands or fingers, but does not require special tools or help of another person.
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From page 251... ...
3 Moderate pain that prevents a few activities. 4 Moderate to severe pain that prevents some activities.
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From page 252... ...
3 I am unable to wash or dress myself. USUAL 1 I have no problems with performing my usual activities ACTIVITIES (e.g., work, study, housework, family or leisure activities)
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From page 253... ...
ROLE 1 You have no problems with your work or other regular LIMITATIONS daily activities as a result of your physical health or any emotional problems. 2 You are limited in the kind of work or other activities as a result of your physical health.
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From page 254... ...
device does not include catheter or colostomy pouch EATING A No limitation No limitations in chewing, swallowing, or digesting food that require restrictions in diet or special preparation of foods B Minor to moderate limitation Restrictions in diet or special preparation of foods required C Tube feeding and/or gastrostomy required SEXUAL A No limitations due to physical limitation FUNCTION B Some difficulty due to physical limitation C A lot of difficulty due to physical limitation including not being able to do it at all AMBULATION A No limitations walking, running, walking briskly, or (MAY standing for long periods INCLUDE No limitations walking without help from another LIMITATIONS person or device*
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From page 255... ...
, including not being able to do it at all Has difficulty lifting arms over head at least 5 times in a row, including not being able to do it at all HAND AND A No limitations WRIST No difficulty grasping and handling small or large FUNCTION objects with either hand (MAY No difficulty twisting and turning doorknob or key with INCLUDE either hand LIMITATIONS B1 Minor difficulty in hand and/or wrist function -- one DUE TO PAIN) hand Difficulty grasping and handling small objects with one hand but no difficulty with large objects and/or Difficulty twisting and turning doorknob or key with one hand continues
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From page 256... ...
in both hands Difficulty grasping and handling large and small objects Requires the help of another person for all or nearly all tasks necessary for daily living SPEECH A No limitations Minor limitations in everyday situations B Can be understood by most everyone; may get stuck, stutter, stammer, slur Major limitations C Can only be understood by people who know person well D Cannot speak and/or be understood by others or requires voice box to speak HEARING A No limitations hearing without hearing aid B1 Minor difficulty hearing continues
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From page 257... ...
but (due to cognitive deficits) may need assistance with some IADL activities of daily living D Unconfined dependence Cannot live independently due to cognitive deficits but 24-hour supervision is not required E Confined dependence Cannot live independently due to cognitive deficits; 24-hour supervision is required F Minimally responsive or vegetative state Cannot respond to simple commands except possibly with eye movement Scoring algorithm: See MacKenzie et al.
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