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How does the perception of pain determine the selection between different treatments?

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  • Schosser, Stephan
  • Trarbach, Judith N.
  • Vogt, Bodo

Abstract

We test the QALY concept to evaluate the utility of therapies. The QALY is the sum of the duration of each health state a patient faces weighted by the utility the patient obtains from this state. The QALY implies linear utility functions over duration. Corresponding analyses for health-related decisions are problematic as inducing health levels is difficult. In this study, we evaluate both utilities over pain duration for a fixed pain level and over pain intensity for a fixed duration, with real health consequences, using the cold pressor test. We find that, for human decision-makers, utility over pain duration does not increase linearly over time when making health-related decisions. This suggests that the QALY might not capture preferences as intended.

Suggested Citation

  • Schosser, Stephan & Trarbach, Judith N. & Vogt, Bodo, 2016. "How does the perception of pain determine the selection between different treatments?," Journal of Economic Behavior & Organization, Elsevier, vol. 131(PB), pages 174-182.
  • Handle: RePEc:eee:jeborg:v:131:y:2016:i:pb:p:174-182
    DOI: 10.1016/j.jebo.2015.08.009
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    1. Ben Greiner, 2015. "Subject pool recruitment procedures: organizing experiments with ORSEE," Journal of the Economic Science Association, Springer;Economic Science Association, vol. 1(1), pages 114-125, July.
    2. Tversky, Amos & Kahneman, Daniel, 1992. "Advances in Prospect Theory: Cumulative Representation of Uncertainty," Journal of Risk and Uncertainty, Springer, vol. 5(4), pages 297-323, October.
    3. Lia C.G. Verhoef & Anton F.J. De Haan & Willem A.J. Van Daal, 1994. "Risk Attitude in Gambles with Years of Life," Medical Decision Making, , vol. 14(2), pages 194-200, April.
    4. Charles A. Holt & Susan K. Laury, 2005. "Risk Aversion and Incentive Effects: New Data without Order Effects," American Economic Review, American Economic Association, vol. 95(3), pages 902-912, June.
    5. Adam Oliver & Richard Cookson, 2010. "Analysing risk attitudes to time," Health Economics, John Wiley & Sons, Ltd., vol. 19(6), pages 644-655, June.
    6. Charles A. Holt & Susan K. Laury, 2002. "Risk Aversion and Incentive Effects," American Economic Review, American Economic Association, vol. 92(5), pages 1644-1655, December.
    7. A.M. Stiggelbout & G.M. Kiebert & J. Kievit & J.W.H. Leer & G. Stoter & J.C.J.M. De Haes, 1994. "Utility Assessment in Cancer Patients," Medical Decision Making, , vol. 14(1), pages 82-90, February.
    8. James Cox & Vjollca Sadiraj & Ulrich Schmidt, 2015. "Paradoxes and mechanisms for choice under risk," Experimental Economics, Springer;Economic Science Association, vol. 18(2), pages 215-250, June.
    9. Joseph S. Pliskin & Donald S. Shepard & Milton C. Weinstein, 1980. "Utility Functions for Life Years and Health Status," Operations Research, INFORMS, vol. 28(1), pages 206-224, February.
    10. Daniel Kahneman & Amos Tversky, 2013. "Prospect Theory: An Analysis of Decision Under Risk," World Scientific Book Chapters, in: Leonard C MacLean & William T Ziemba (ed.), HANDBOOK OF THE FUNDAMENTALS OF FINANCIAL DECISION MAKING Part I, chapter 6, pages 99-127, World Scientific Publishing Co. Pte. Ltd..
    11. John M. Miyamoto & Stephen A. Eraker, 1985. "Parameter Estimates for a QALY Utility Model," Medical Decision Making, , vol. 5(2), pages 191-213, June.
    12. Allison B. Rosen & Jerry S. Tsai & Stephen M. Downs, 2003. "Variations in Risk Attitude across Race, Gender, and Education," Medical Decision Making, , vol. 23(6), pages 511-517, November.
    13. Arthur E. Attema & Han Bleichrodt & Peter P. Wakker, 2012. "A Direct Method for Measuring Discounting and QALYs More Easily and Reliably," Medical Decision Making, , vol. 32(4), pages 583-593, July.
    14. Cox, James C. & Sadiraj, Vjollca, 2006. "Small- and large-stakes risk aversion: Implications of concavity calibration for decision theory," Games and Economic Behavior, Elsevier, vol. 56(1), pages 45-60, July.
    15. Peter C. Fishburn, 1967. "Methods of Estimating Additive Utilities," Management Science, INFORMS, vol. 13(7), pages 435-453, March.
    16. James Cox & Vjollca Sadiraj & Bodo Vogt & Utteeyo Dasgupta, 2013. "Is there a plausible theory for decision under risk? A dual calibration critique," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 54(2), pages 305-333, October.
    17. Helen Mason & Michael Jones‐Lee & Cam Donaldson, 2009. "Modelling the monetary value of a QALY: a new approach based on UK data," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 933-950, August.
    18. Ralf Morgenstern & Marcus Heldmann & Bodo Vogt, 2014. "Differences in cognitive control between real and hypothetical payoffs," Theory and Decision, Springer, vol. 77(4), pages 557-582, December.
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    2. Arthur E. Attema & Jona J. Frasch & Olivier L’Haridon, 2022. "Multivariate risk preferences in the quality‐adjusted life year model," Health Economics, John Wiley & Sons, Ltd., vol. 31(2), pages 382-398, February.
    3. Thomas Neumann & Sabrina Kierspel & Ivo Windrich & Roger Berger & Bodo Vogt, 2018. "How to Split Gains and Losses? Experimental Evidence of Dictator and Ultimatum Games," Games, MDPI, vol. 9(4), pages 1-19, October.

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