Modelling and estimation of valuations for the Dutch London Handicap Scale

Catharina G.M. Groothuis-Oudshoorn*, Astrid M.J. Chorus, W. Taeke van Beekum, Simone B. Detmar, Wilbert B. van den Hout

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)


This paper presents a study to estimate a preference-based participation index from the Dutch London Handicap Scale (LHS) classification system that can be applied to past or future Dutch LHS data sets. A subset of 60 states were valued by a representative sample of 285 respondents of the Dutch general adult population. Different models were estimated for predicting health state valuations for all 46,656 states defined by the LHS. Several criteria were used for comparison of the different models and for arguing which one is the most preferred model to use. Our data showed that using the English index would give systematic errors for the Dutch population preferences.

Original languageEnglish
Pages (from-to)1119-1138
Number of pages20
JournalJournal of Health Economics
Issue number6
Publication statusPublished - Nov 2006
Externally publishedYes


  • London Handicap Scale
  • Modelling preference data
  • Preference-based measure


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