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Valuing Health for Regulatory Cost-Effectiveness Analysis (2006)
Board on Health Care Services (HCS)

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. "Appendix B Health Indexes." Valuing Health for Regulatory Cost-Effectiveness Analysis. Washington, DC: The National Academies Press, 2006.

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Valuing Health for Regulatory Cost-Effectiveness Analysis

Domains

Attribute Levels

Description

 

 

With or without hearing aid has some difficulty hearing, but only when listening conditions are less than ideal

B2

Moderate difficulty

With or without hearing aid has difficulty hearing under everyday listening conditions

C

Profound to total loss of hearing; noncorrectable

Cannot hear even with the use of a hearing aid

VISION

A

No limitations; No difficulties reading small and large print, driving and going about daily activities with or without glasses/contacts

B

Minor or moderate limitations

Minor or moderate difficulty reading small and large print, driving and going about daily activities with or without glasses/contacts

C

Severe limitations

Severe difficulty reading small and large print, driving and going about daily activities with or without glasses/contacts; includes blind with light perception only

D

Blind without light perception

COGNITIVE FUNCTION

A

No limitations

B

Minor limitations

Minor difficulties with reasoning/solving problems, memory, concentration/thinking and/or attention; can live independently (i.e. does not require assistance with either ADL or IADL activities due to cognitive deficits)

C

Moderate to severe limitations

Moderate to severe difficulties with reasoning/solving problems, memory, concentration/thinking and/or attention; can live independently (i.e. does not require assistance with ADL activities) 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. (1996), for original FCI scores and classifications; contact author for current scoring algorithm.

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