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The value of the change in health in Sweden 1980|81 to 1996|97


Author Info

  • Kristina Burström

    (Department of Public Health Sciences, Division of Social Medicine, Karolinska Institute, Sweden)

  • Magnus Johannesson

    (Centre for Health Economics, Stockholm School of Economics, Sweden)

  • Finn Diderichsen

    (Department of Public Health Sciences, Division of Social Medicine, Karolinska Institute, Sweden)


The study aimed to estimate the value of the change in health in Sweden 1980|81 to 1996|97. Quality-adjusted life years (QALYs) for men and women at specific ages were estimated for 1980|81, 1988|89 and 1996|97, by combining survival rates and health state scores. Data from the Swedish Survey of Living Conditions (n=39 966) were used to estimate age-specific health state scores. Responses to selected survey questions were mapped into the EQ-5D measure, using the UK EQ-5D index tariff to derive health state scores. The monetary value of a QALY was assumed to be $100 000. Life expectancy for infants increased by 3.68 years for males and 2.70 years for females between 1980|81 and 1996|97. Average health status decreased in younger age groups whereas it increased in older age groups. Expected QALYs for infants increased by 2.64 for males and 0.54 for females. With 3% discounting the gain was 0.11 QALYs ($11 000) among males and a loss by 0.58 QALYs ($58 000) among females. The corresponding gain in discounted QALYs for a 75-year-old was 1.15 ($115 000) and 0.80 ($80 000), respectively. It is concluded that older persons have experienced considerable health gains whereas the health gains have been small or non-existent for younger women. Copyright © 2002 John Wiley & Sons, Ltd.

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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 12 (2003)
Issue (Month): 8 ()
Pages: 637-654

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Handle: RePEc:wly:hlthec:v:12:y:2003:i:8:p:637-654

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  1. Torrance, George W., 1986. "Measurement of health state utilities for economic appraisal : A review," Journal of Health Economics, Elsevier, vol. 5(1), pages 1-30, March.
  2. Joseph P. Newhouse, 1998. "US and UK health economics: Two disciplines separated by a common language?," Health Economics, John Wiley & Sons, Ltd., vol. 7(S1), pages S79-S92, 08.
  3. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
  4. Burstrom, Kristina & Johannesson, Magnus & Diderichsen, Finn, 2001. "Health-related quality of life by disease and socio-economic group in the general population in Sweden," Health Policy, Elsevier, vol. 55(1), pages 51-69, January.
  5. John A. Rizzo & Jody L. Sindelar, 1999. "Linking Health-Related Quality-of-Life Indicators to Large National Data Sets," PharmacoEconomics, Springer Healthcare | Adis, vol. 16(5), pages 473-482.
  6. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, June.
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Cited by:
  1. Nordin , Martin & Gerdtham , Ulf-G, 2010. "Why a positive link between age and income-related health inequality?," Working Papers 2010:12, Lund University, Department of Economics.
  2. Rodrigo R. Soares, 2007. "On the Determinants of Mortality Reductions in the Developing World," NBER Working Papers 12837, National Bureau of Economic Research, Inc.
  3. Rodrigo R. Soares, 2007. "Health and the Evolution of Welfare across Brazilian Municipalities," NBER Working Papers 13087, National Bureau of Economic Research, Inc.
  4. Gerdtham, Ulf-G & Lundborg, Petter & Lyttkens, Carl Hampus & Nystedt, Paul, 2012. "Do Socioeconomic Factors Really Explain Income-Related Inequalities in Health? Applying a Twin Design to Standard Decomposition Analysis," Working Papers 2012:21, Lund University, Department of Economics.
  5. Shaheen, Rubina & Lindholm, Lars, 2006. "Quality of life among pregnant women with chronic energy deficiency in rural Bangladesh," Health Policy, Elsevier, vol. 78(2-3), pages 128-134, October.


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