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Assessing Utilities by Means of Conjoint Measurement

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  • Arne Maas
  • Lukas Stalpers

Abstract

A method is presented for helping patients who have laryngeal cancer to decide between laryngectomy and radiotherapy in cases where these treatments are deemed medically equivalent. The method is based on the model of additive conjoint measurement. The treat ment with the higher utility is determined from pair comparisons among outcomes that vary in quality and quantity of life. Pair comparisons enable a (partial) test of the axioms of additive conjoint measurement. This is in contradistinction to earlier work on decision making for patients with laryngeal cancer, and most of the work in medical decision making in general, in which underlying axioms have almost never been tested. Besides testing the axioms, another important advantage of pair comparisons is that they avoid difficulties with other, risk-based, assessment procedures by presenting only riskless alternatives. Encouraging results have been found in a study among patients. Key words: utilities; additive conjoint measurement; pair comparisons; laryngeal cancer. (Med Decis Making 1992;12:288-297)

Suggested Citation

  • Arne Maas & Lukas Stalpers, 1992. "Assessing Utilities by Means of Conjoint Measurement," Medical Decision Making, , vol. 12(4), pages 288-297, December.
    • Handle: RePEc:sae:medema:v:12:y:1992:i:4:p:288-297
    DOI: 10.1177/0272989X9201200408
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    References listed on IDEAS

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    1. Maas, Arne, 1991. "A model for quality of life after laryngectomy," Social Science & Medicine, Elsevier, vol. 33(12), pages 1373-1377, January.
    2. Machina, Mark J, 1987. "Choice under Uncertainty: Problems Solved and Unsolved," Journal of Economic Perspectives, American Economic Association, vol. 1(1), pages 121-154, Summer.
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    2. Ryan, Mandy & Netten, Ann & Skatun, Diane & Smith, Paul, 2006. "Using discrete choice experiments to estimate a preference-based measure of outcome--An application to social care for older people," Journal of Health Economics, Elsevier, vol. 25(5), pages 927-944, September.
    3. Mandy Ryan, 1996. "Using Consumer Preferences in Health Care Decision Making: The Application of Conjoint Analysis," Monograph 000420, Office of Health Economics.
    4. Shiell, Alan, 1997. "Health outcomes are about choices and values: an economic perspective on the health outcomes movement," Health Policy, Elsevier, vol. 39(1), pages 5-15, January.
    5. Mass A. & Bezembinder, T. & Wakker, P., 1996. "On solving intansitivities in repeated pairwise choices," Mathematical Social Sciences, Elsevier, vol. 31(1), pages 53-53, February.
    6. Olmstead, Todd & Zeckhauser, Richard, 1999. "The menu-setting problem and subsidized prices: drug formulary illustration," Journal of Health Economics, Elsevier, vol. 18(5), pages 523-550, October.
    7. Lancsar, Emily & Wildman, John & Donaldson, Cam & Ryan, Mandy & Baker, Rachel, 2011. "Deriving distributional weights for QALYs through discrete choice experiments," Journal of Health Economics, Elsevier, vol. 30(2), pages 466-478, March.

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