Appendix 2

Health Values Assessment

Rating Scale: On a scale from 0 to 100, with 0 being death and 100 being perfect health, what number would best describe this patient’s [veteran’s] current state of health? ______

Time Tradeoff: Now, try to imagine that the 72-year-old patient [veteran] with congestive heart failure could live exactly 5 years in his current state of health, or he could give up some time to live in perfect health.

How many months or years should he be willing to give up to live in perfect health?

______years, ______months

Standard Gamble: Now imagine a new pill is now available forcongestive heart failure. If the 72-year-old patient [veteran] took the pill today and it works, it will cure him of congestive heart failure and give him perfect health for the rest of his life. However, if he takes the pill today and it doesnot work, it causes a sudden and painless death in his sleep tonight. There is no way of predicting which patients this new pill will cure. Given everything you know about the 72-year-old patient [veteran] with congestive heart failure, we want to know what you think about this pill.

Would you recommend that the patient [veteran] with CHF take this pill right now if you knew…

(Please circle “Yes” or “No” for EVERY question.)

…it had a 100% chance of perfect health and a 0% risk of causing death in his sleep tonight? Yes No

…it had a 99% chance of perfect health and a 1% risk of causing death in his sleep tonight? Yes No

…it had a 97% chance of perfect health and a 3% risk of causing death in his sleep tonight? Yes No

…it had a 95% chance of perfect health and a 5% risk of causing death in his sleep tonight? Yes No

…it had a 93% chance of perfect health and a 7% risk of causing death in his sleep tonight? Yes No

…it had a 91% chance of perfect health and a 9% risk of causing death in his sleep tonight? Yes No

…it had a 90% chance of perfect health and a 10% risk of causing death in his sleep tonight? Yes No

…it had a 85% chance of perfect health and a 15% risk of causing death in his sleep tonight? Yes No

…it had a 80% chance of perfect health and a 20% risk of causing death in his sleep tonight? Yes No

…it had a 75% chance of perfect health and a 25% risk of causing death in his sleep tonight? Yes No

…it had a 70% chance of perfect health and a 30% risk of causing death in his sleep tonight? Yes No

…it had a 65% chance of perfect health and a 35% risk of causing death in his sleep tonight? Yes No

…it had a 60% chance of perfect health and a 40% risk of causing death in his sleep tonight? Yes No

…it had a 50% chance of perfect health and a 50% risk of causing death in his sleep tonight? Yes No

…it had a 40% chance of perfect health and a 60% risk of causing death in his sleep tonight? Yes No

…it had a 30% chance of perfect health and a 70% risk of causing death in his sleep tonight? Yes No

…it had a 20% chance of perfect health and a 80% risk of causing death in his sleep tonight? Yes No

…it had a 10% chance of perfect health and a 90% risk of causing death in his sleep tonight? Yes No

…it had a 0% chance of perfect health and a 100% risk of causing death in his sleep tonight? Yes No

Willingness to Pay:The year 2002 projections of per capita health care expenditures for those ≥ 65 years of age are $7600 per person.

Imagine there is a treatment that could completely restore the patient [veteran] to perfect health for the rest of his life. How much should society be willing to pay per year in order for this patient [veteran] to receive this therapy?

$______

1