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. 2003 Oct 16:1:54.
doi: 10.1186/1477-7525-1-54.

The Health Utilities Index (HUI): concepts, measurement properties and applications

John Horsman  1 , William Furlong, David Feeny, George Torrance
Affiliations

The Health Utilities Index (HUI): concepts, measurement properties and applications

John Horsman et al. Health Qual Life Outcomes. .

Abstract

This is a review of the Health Utilities Index (HUI) multi-attribute health-status classification systems, and single- and multi-attribute utility scoring systems. HUI refers to both HUI Mark 2 (HUI2) and HUI Mark 3 (HUI3) instruments. The classification systems provide compact but comprehensive frameworks within which to describe health status. The multi-attribute utility functions provide all the information required to calculate single-summary scores of health-related quality of life (HRQL) for each health state defined by the classification systems. The use of HUI in clinical studies for a wide variety of conditions in a large number of countries is illustrated. HUI provides comprehensive, reliable, responsive and valid measures of health status and HRQL for subjects in clinical studies. Utility scores of overall HRQL for patients are also used in cost-utility and cost-effectiveness analyses. Population norm data are available from numerous large general population surveys. The widespread use of HUI facilitates the interpretation of results and permits comparisons of disease and treatment outcomes, and comparisons of long-term sequelae at the local, national and international levels.

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Figures

Figure 1
Figure 1
Components of the Health Utilities Index. (See FAQ 8).
Figure 2
Figure 2
Schema for derivation of HUI variables and utility scores. (See FAQ 10).
Figure 3
Figure 3
Schema of factors that determine HUI questionnaire version. (See FAQ 12).
See this image and copyright information in PMC

References

    1. Patrick DL, Erickson P. Health Status and Health Policy: Quality of Life in Health Care Evaluation and Resource Allocation. NewYork: Oxford University Press; 1993.
    1. Furlong WJ, Feeny DH, Torrance GW, Barr RD. The Health Utilities Index (HUI®) System for Assessing Health-Related Quality of Life in Clinical Studies. Annals of Medicine. 2001;33:375–384. - PubMed
    1. Torrance GW, Feeny DH, Furlong WJ, Barr RD, Zhang Y, Wang Q. Multiattribute Utility Function for a Comprehensive Health Status Classification System: Health Utilities Index Mark 2. Medical Care. 1996;34:702–722. doi: 10.1097/00005650-199607000-00004. - DOI - PubMed
    1. Feeny DH, Furlong WJ, Torrance GW, Goldsmith CH, Zhu Z, DePauw S, Denton M, Boyle M. Multi-Attribute and Single-Attribute Utility Functions for the Health Utilities Index Mark 3 System. Medical Care. 2002;40:113–128. doi: 10.1097/00005650-200202000-00006. - DOI - PubMed
    1. Canadian Coordinating Office for Health Technology Assessment . Ottawa: The Canadian Coordinating Office for Health Technology Assessment (CCOHTA) 2. 1997. Guidelines for Economic Evaluation of Pharmaceuticals: Canada. Note: This document is available to be downloaded from http://www.ccohta.ca or ordered by email from pubs@ccohta.ca. - PubMed