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Should Patients Have a Greater Role in Valuing Health States?

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Author Info

  • John Brazier

    (Health Economics and Decision Science, University of Sheffield, Sheffield, UK)

  • Ron Akehurst

    (Health Economics and Decision Science, University of Sheffield, Sheffield, UK)

  • Alan Brennan

    (Health Economics and Decision Science, University of Sheffield, Sheffield, UK)

  • Paul Dolan

    (Health Economics and Decision Science, University of Sheffield, Sheffield, UK)

  • Karl Claxton

    (Centre for Health Economics, University of York, York, UK)

  • Chris McCabe

    (Health Economics and Decision Science, University of Sheffield, Sheffield, UK)

  • Mark Sculpher

    (Centre for Health Economics, University of York, York, UK)

  • Aki Tsuchyia

    (Health Economics and Decision Science, University of Sheffield, Sheffield, UK)

Abstract

Currently, health state values are usually obtained from members of the general public trying to imagine what the state would be like rather than by patients who are actually in the various states of health. Valuations of a health state by patients tend to vary from those of the general population, and this seems to be due to a range of factors including errors in the descriptive system, adaptation to the state and changes in internal standards. The question of whose values are used in cost-effectiveness analysis is ultimately a normative one, but the decision should be informed by evidence on the reasons for the differences. There is a case for obtaining better informed general population preferences by providing more information on what it is like for patients (including the process of adaptation).

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Bibliographic Info

Article provided by Springer Healthcare | Adis in its journal Applied Health Economics and Health Policy.

Volume (Year): 4 (2005)
Issue (Month): 4 ()
Pages: 201-208

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Handle: RePEc:wkh:aheahp:v:4:y:2005:i:4:p:201-208

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Web page: http://healtheconomics.adisonline.com/

Related research

Keywords: Health-status; Patient-preference;

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Cited by:
  1. Rachel Mann & John Brazier & Aki Tsuchiya, 2009. "A comparison of patient and general population weightings of EQ-5D dimensions," Health Economics, John Wiley & Sons, Ltd., vol. 18(3), pages 363-372.
  2. Michaël Schwarzinger & Fabrice Carrat & Stéphane Luchini, 2009. ""If you have the flu symptoms, your asymptomatic spouse may better answer the willingness-to-pay question". Evidence from a double-bounded dichotomous choice model with heterogeneous anchori," Post-Print inserm-00636179, HAL.
  3. Buckingham, Ken J. & Devlin, Nancy Joy, 2009. "A note on the nature of utility in time and health and implications for cost utility analysis," Social Science & Medicine, Elsevier, vol. 68(2), pages 362-367, January.
  4. Victoria Brennan & Simon Dixon, 2013. "Incorporating Process Utility into Quality Adjusted Life Years: A Systematic Review of Empirical Studies," PharmacoEconomics, Springer, vol. 31(8), pages 677-691, August.
  5. Schwarzinger, Michaël & Carrat, Fabrice & Luchini, Stéphane, 2009. ""If you have the flu symptoms, your asymptomatic spouse may better answer the willingness-to-pay question": Evidence from a double-bounded dichotomous choice model with heterogeneous anchori," Journal of Health Economics, Elsevier, vol. 28(4), pages 873-884, July.
  6. McTaggart-Cowan, H & O'Cathain, A & Tsuchiya, A & Brazier, J, 2009. "A qualitative study exploring the general population’s perception of rheumatoid arthritis after being informed about disease adaptation," MPRA Paper 29836, University Library of Munich, Germany.
  7. Julie Ratcliffe & John Brazier & Simon Palfreyman & Jonathan Michaels, 2007. "A comparison of patient and population values for health states in varicose veins patients," Health Economics, John Wiley & Sons, Ltd., vol. 16(4), pages 395-405.
  8. Paul Dolan & Mathew White, 2006. "Dynamic Well-Being: Connecting Indicators of what People Anticipate with Indicators of what they Experience," Social Indicators Research, Springer, vol. 75(2), pages 303-333, 01.

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