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The Zero-Condition: A Simplifying Assumption in QALY Measurement and Multiattribute Utility

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Author Info

  • John M. Miyamoto

    (Department of Psychology, University of Washington, Seattle, Washington 98195)

  • Peter P. Wakker

    (Department of Medical Decision Making, LUMC 1 K6-R, Leiden University Medical Center, P.O. Box 9600, Leiden 2300 RC, The Netherlands)

  • Han Bleichrodt

    (iMTA, Erasmus University, P.O. Box 1738, Rotterdam, 3000 DR, The Netherlands)

  • Hans J. M. Peters

    (Department of Quantitative Economics, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands)

Abstract

This paper studies the implications of the "zero-condition" for multiattribute utility theory. The zero-condition simplifies the measurement and derivation of the Quality Adjusted Life Year (QALY) measure commonly used in medical decision analysis. For general multiattribute utility theory, no simple condition has heretofore been found to characterize multiplicatively decomposable forms. When the zero-condition is satisfied, however, such a simple condition, "standard gamble invariance," becomes available.

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File URL: http://dx.doi.org/10.1287/mnsc.44.6.839
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Bibliographic Info

Article provided by INFORMS in its journal Management Science.

Volume (Year): 44 (1998)
Issue (Month): 6 (June)
Pages: 839-849

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Handle: RePEc:inm:ormnsc:v:44:y:1998:i:6:p:839-849

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Related research

Keywords: QALY; Multiattribute Utility; Utility Independence;

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Cited by:
  1. HOUGAARD, Jean Leth & MORENO-TERNERO, Juan D. & OSTERDAL, Lars Peter, . "A new axiomatic approach to the evaluation of population health," CORE Discussion Papers RP -2472, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  2. Madeleine King & Rosalie Viney & Ishrat Hossain & David Smith & Sandra Fowler & Elizabeth Savage & Bruce Armstrong, 2006. "Men?s preferences for treatment of early stage prostate cancer: Results from a discrete choice experiment, CHERE Working Paper 2006/14," Working Papers 2006/14, CHERE, University of Technology, Sydney.
  3. Bleichrodt, Han & Quiggin, John, 2013. "Capabilities as menus: A non-welfarist basis for QALY evaluation," Journal of Health Economics, Elsevier, vol. 32(1), pages 128-137.
  4. Doctor, Jason N. & Bleichrodt, Han & Miyamoto, John & Temkin, Nancy R. & Dikmen, Sureyya, 2004. "A new and more robust test of QALYs," Journal of Health Economics, Elsevier, vol. 23(2), pages 353-367, March.
  5. Lars Østerdal, 2009. "The lack of theoretical support for using person trade-offs in QALY-type models," The European Journal of Health Economics, Springer, vol. 10(4), pages 429-436, October.
  6. Reza Yaesoubi & Stephen Roberts, 2010. "A game-theoretic framework for estimating a health purchaser’s willingness-to-pay for health and for expansion," Health Care Management Science, Springer, vol. 13(4), pages 358-377, December.
  7. Walter Bossert & Hans Peters, . "Multi-Attribute Decision-Making in Individual and Social, Choice," Discussion Papers 98/7, University of Nottingham, School of Economics.
  8. Bleichrodt, Han & Quiggin, John, 1999. "Life-cycle preferences over consumption and health: when is cost-effectiveness analysis equivalent to cost-benefit analysis?," Journal of Health Economics, Elsevier, vol. 18(6), pages 681-708, December.
  9. Han Bleichrodt, 2002. "A new explanation for the difference between time trade-off utilities and standard gamble utilities," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 447-456.
  10. Peep F. M. Stalmeier & Jan J. V. Busschbach & Leida M. Lamers & Paul F. M. Krabbe, 2005. "The gap effect: discontinuities of preferences around dead," Health Economics, John Wiley & Sons, Ltd., vol. 14(7), pages 679-685.
  11. Abellan-Perpiñan, Jose Maria & Bleichrodt, Han & Pinto-Prades, Jose Luis, 2009. "The predictive validity of prospect theory versus expected utility in health utility measurement," Journal of Health Economics, Elsevier, vol. 28(6), pages 1039-1047, December.
  12. James Hammitt, 2013. "Admissible utility functions for health, longevity, and wealth: integrating monetary and life-year measures," Journal of Risk and Uncertainty, Springer, vol. 47(3), pages 311-325, December.
  13. Moreno-Ternero, Juan D. & Østerdal, Lars Peter, 2014. "Normative foundations for equity-sensitive population health evaluation functions," COHERE Working Paper 2014:1, COHERE - Centre of Health Economics Research, University of Southern Denmark.
  14. José-Mar�a Abellán-Perpi�án & José-Luis Pinto-Prades & Ildefonso Méndez-Mart�nez & Xabier Bad�a-Llach, 2006. "Towards a better QALY model," Health Economics, John Wiley & Sons, Ltd., vol. 15(7), pages 665-676.

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