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Evaluating the consequences of rheumatoid arthritis

Author

Listed:
  • Björn Sossong

    (Ruhr Graduate School in Economics and University of Duisburg-Essen)

  • Stefan Felder

    (University of Basel)

  • Malte Wolff

    (AbbVie Deutschland GmbH & Co. KG)

  • Klaus Krüger

    (LMU Munich and Rheumazentrum München)

Abstract

Patients and non-patients tend to attach different utility values to the state of suffering from specific illnesses. This observation naturally leads to the question whose utility values should be used as the basis in cost-effectiveness analysis (CEA). Intuitively, one would presume that patients are better informed about the consequences of their illness, and public authorities should, therefore, use the patients’ utility values in CEA. Contrary to this presumption, it has been argued that society at large should determine which values are to be used and not the patients because, in the end, it is societal resources that are to be allocated. Against this background, we use data from a discrete choice experiment (DCE) that was completed by patients of rheumatoid arthritis (RA) and non-patients to explore the discrepancies between the two groups' utility estimates for typical consequences of RA. Our results indicate that both groups attach remarkably similar part-worth utilities to the symptoms pain, fatigue, and functional limitations. However, non-patients significantly undervalue the ability to work when compared to patients.

Suggested Citation

  • Björn Sossong & Stefan Felder & Malte Wolff & Klaus Krüger, 2017. "Evaluating the consequences of rheumatoid arthritis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(6), pages 685-696, July.
    • Handle: RePEc:spr:eujhec:v:18:y:2017:i:6:d:10.1007_s10198-016-0818-x
    DOI: 10.1007/s10198-016-0818-x
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    References listed on IDEAS

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    More about this item

    Keywords

    Discrete choice experiment; Cost-effectiveness analysis; Rheumatoid arthritis;
    All these keywords.

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • J17 - Labor and Demographic Economics - - Demographic Economics - - - Value of Life; Foregone Income

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