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Multi‐method approach to valuing health states: problems with meaning

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  • Erik Nord
  • Paul Menzel
  • Jeff Richardson

Abstract

In an earlier article in Health Economics, Salomon and Murray argue that by applying maximum likelihood techniques to predetermined functional forms and to a data set where a number of health states are valued by means of four standard valuation techniques, underlying ‘pure’ valuations of health may be teased out, together with estimates of parametric relationships between these ‘pure’ valuations and valuations based on the four standard techniques. We argue below that ‘pure’ valuations of health are ordinal rather than cardinal and that the ‘pure’ values that result from the multi‐method approach give a false impression of being cardinal. They are therefore not usable as weights for life years. In the unlikely event that the authors should be able to demonstrate cardinality in ‘pure’ valuations of health, it must be possible to have subjects express these valuations directly, in which case there seems to be no need for the indirect multi‐method approach. Copyright © 2006 John Wiley & Sons, Ltd.

Suggested Citation

  • Erik Nord & Paul Menzel & Jeff Richardson, 2006. "Multi‐method approach to valuing health states: problems with meaning," Health Economics, John Wiley & Sons, Ltd., vol. 15(2), pages 215-218, February.
    • Handle: RePEc:wly:hlthec:v:15:y:2006:i:2:p:215-218
    DOI: 10.1002/hec.1063
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    References listed on IDEAS

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    1. Richardson, J., 1994. "Cost utility analysis: What should be measured?," Social Science & Medicine, Elsevier, vol. 39(1), pages 7-21, July.
    2. Joshua A. Salomon & Christopher J.L. Murray, 2004. "A multi‐method approach to measuring health‐state valuations," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 281-290, March.
    3. Nord, Erik, 1992. "Methods for quality adjustment of life years," Social Science & Medicine, Elsevier, vol. 34(5), pages 559-569, March.
    4. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39, February.
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    1. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39, February.
    2. Nord, Erik, 2013. "Disability weights in the Global Burden of Disease 2010: Unclear meaning and overstatement of international agreement," Health Policy, Elsevier, vol. 111(1), pages 99-104.
    3. Ariel Beresniak & Antonieta Medina-Lara & Jean Auray & Alain Wever & Jean-Claude Praet & Rosanna Tarricone & Aleksandra Torbica & Danielle Dupont & Michel Lamure & Gerard Duru, 2015. "Validation of the Underlying Assumptions of the Quality-Adjusted Life-Years Outcome: Results from the ECHOUTCOME European Project," PharmacoEconomics, Springer, vol. 33(1), pages 61-69, January.

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