This file is part of IDEAS, which uses RePEc data


[ Papers | Articles | Software | Books | Chapters | Authors | Institutions | JEL Classification | NEP reports | Search | New papers by email | Author registration | Rankings | Volunteers | FAQ | Blog | Help! ]

Incorporating societal concerns for fairness in numerical valuations of health programmes

Author info | Abstract | Publisher info | Download info | Related research | Statistics
Author Info
Erik Nord (National Institute of Public Health, Oslo, Norway)
Jose Luis Pinto (Department of Economics, Universitat Pompeu Fabra, Barcelona, Spain)
Jeff Richardson (Centre for Health Program Evaluation, Melbourne, Australia)
Paul Menzel (Department of Philosophy, Pacific Lutheran University, Tacoma, Washington, USA)
Peter Ubel (Center for Bioethics, University of Pennsylvania, Philadelphia, Pennsylvania, USA)

Additional information is available for the following registered author(s):

Abstract

The paper addresses some limitations of the QALY approach and outlines a valuation procedure that may overcome these limitations. In particular, we focus on the following issues: the distinction between assessing individual utility and assessing societal value of health care; the need to incorporate concerns for severity of illness as an independent factor in a numerical model of societal valuations of health outcomes; similarly, the need to incorporate reluctance to discriminate against patients that happen to have lesser potentials for health than others; and finally, the need to combine measurements of health-related quality of life obtained from actual patients (or former patients) with measurements of distributive preferences in the general population when estimating societal value. We show how equity weights may serve to incorporate concerns for severity and potentials for health in QALY calculations. We also suggest that for chronically ill or disabled people a life year gained should count as one and no less than one as long as the year is considered preferable to being dead by the person concerned. We call our approach 'cost-value analysis'. Copyright © 1999 John Wiley & Sons, Ltd.

Download Info
To our knowledge, this item is not available for download. To find whether it is available, there are three options:
1. Check below under "Related research" whether another version of this item is available online.
2. Check on the provider's web page whether it is in fact available.
3. Perform a search for a similarly titled item that would be available.

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

Volume (Year): 8 (1999)
Issue (Month): 1 ()
Pages: 25-39
Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
Handle: RePEc:wly:hlthec:v:8:y:1999:i:1:p:25-39

Contact details of provider:
Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

For technical questions regarding this item, or to correct its listing, contact: (Christopher F. Baum).

Related research
Keywords:

Other versions of this item:

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Nord, Erik, 1993. "The trade-off between severity of illness and treatment effect in cost-value analysis of health care," Health Policy, Elsevier, vol. 24(3), pages 227-238, August. [Downloadable!] (restricted)
  2. Jose-Luis Pinto Prades, 1997. "Is the Person Trade-off a Valid Method for Allocating Health Care Resources?," Health Economics, John Wiley & Sons, Ltd., vol. 6(1), pages 71-81.
  3. Dolan, Paul, 1998. "The measurement of individual utility and social welfare," Journal of Health Economics, Elsevier, vol. 17(1), pages 39-52, January. [Downloadable!] (restricted)
  4. Wagstaff, Adam, 1991. "QALYs and the equity-efficiency trade-off," Journal of Health Economics, Elsevier, vol. 10(1), pages 21-41, May. [Downloadable!] (restricted)
  5. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 34-58, Spring.
  6. Nord, Erik, 1989. "The significance of contextual factors in valuing health states," Health Policy, Elsevier, vol. 13(3), pages 189-198, December. [Downloadable!] (restricted)
  7. Alan Williams, 1997. "Intergenerational Equity: An Exploration of the 'Fair Innings' Argument," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 117-132.
Full references

Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Juan Manuel Cabasés & Idoia Gaminde & José M. Ugalde, 2000. "Societal perspective on the eliciting of health states preferences," Documentos de Trabajo - Lan Gaiak Departamento de Economía - Universidad Pública de Navarra 0010, Departamento de Economía - Universidad Pública de Navarra. [Downloadable!]
  2. Lars Peter Østerdal, 2003. "A note on cost-value analysis," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 247-250. [Downloadable!]
  3. Paul Dolan & Rebecca Shaw & Aki Tsuchiya & Alan Williams, 2005. "QALY maximisation and people's preferences: a methodological review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 14(2), pages 197-208. [Downloadable!]
  4. Jose-Maria Abellan-Perpiñan & Jose-Luis Pinto-Prades, 1999. "Health state after treatment: a reason for discrimination?," Health Economics, John Wiley & Sons, Ltd., vol. 8(8), pages 701-707.
  5. Paul Dolan & Jan Abel Olsen & Paul Menzel & Jeff Richardson, 2003. "An inquiry into the different perspectives that can be used when eliciting preferences in health," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 545-551. [Downloadable!]
  6. Abellán Perpiñán, José Mª & Sánchez Martínez,Fernando I. & Martínez Pérez, Jorge E., 2007. "La medición del bienestar social relacionado con la salud/The Measurement of the Health Related Social Welfare," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 25, pages 823 - 24 , Diciembre. [Downloadable!] (restricted)
  7. Jeff Richardson & Neil Day & Stuart Peacock & Angelo Iezzi, 2004. "The Assessment of Quality of Life (AQoL) II instrument. Derivation of the scaling weights using a multiplicative model and econometric second stage correction," Centre for Health Economics Working Papers 142/04, Monash University, Centre for Health Economics. [Downloadable!]
  8. Joanna Coast, 2001. "Citizens, their agents and health care rationing: an exploratory study using qualitative methods," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 159-174. [Downloadable!]
  9. Magnus Johannesson, 2001. "Should we aggregate relative or absolute changes in QALYs?," Health Economics, John Wiley & Sons, Ltd., vol. 10(7), pages 573-577. [Downloadable!]
  10. Erik Nord, 2001. "The desirability of a condition versus the well being and worth of a person," Health Economics, John Wiley & Sons, Ltd., vol. 10(7), pages 579-581. [Downloadable!]
  11. Francis Asenso-Boadi & Tim J. Peters & Joanna Coast, 2008. "Exploring differences in empirical time preference rates for health: an application of meta-regression," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 235-248. [Downloadable!]
  12. Rebecca L. Walker & Andrew W. Siegel, 2002. "Morality and the limits of societal values in health care allocation," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 265-273. [Downloadable!]
  13. Michaël Schwarzinger & Jean-Louis Lanoë & Erik Nord & Isabelle Durand-Zaleski, 2004. "Lack of multiplicative transitivity in person trade-off responses," Health Economics, John Wiley & Sons, Ltd., vol. 13(2), pages 171-181. [Downloadable!]
  14. Mira Johri & Laura J. Damschroder & Brian J. Zikmund-Fisher & Peter A. Ubel, 2005. "The importance of age in allocating health care resources: does intervention-type matter?," Health Economics, John Wiley & Sons, Ltd., vol. 14(7), pages 669-678. [Downloadable!]
  15. Bengt Liljas & Göran S. Karlsson & Nils-Olov Stålhammar, 2008. "On future non-medical costs in economic evaluations," Health Economics, John Wiley & Sons, Ltd., vol. 17(5), pages 579-591. [Downloadable!]
  16. Stein, Alexander J. & Meenakshi, J.V. & Qaim, Matin & Nestel, Penelope & Sachdev, H.P.S. & Bhutta, Zulfiqar A., 2005. "Health benefits of biofortification - an ex-ante analysis of iron-rich rice and wheat in India," 2005 Annual meeting, July 24-27, Providence, RI 19468, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association). [Downloadable!]
  17. Colin Green, 2001. "On the societal value of health care: what do we know about the person trade-off technique?," Health Economics, John Wiley & Sons, Ltd., vol. 10(3), pages 233-243. [Downloadable!]
  18. Jose Luis Pinto Prades & Graham Loomes & Raul Brey, 2008. "Trying to estimate a monetary value for the QALY," Working Papers 08.09, Universidad Pablo de Olavide, Department of Economics. [Downloadable!]
    Other versions:
  19. 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. [Downloadable!]
  20. Erik Nord & José Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 2003. "Comments to 'a note on cost-value analysis'," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 251-253. [Downloadable!]
Statistics
Access and download statistics

Did you know? About 1000 archives contribute their bibliographic data to RePEc.

This page was last updated on 2009-12-30.

This information is provided to you by IDEAS at the Department of Economics, College of Liberal Arts and Sciences, University of Connecticut using RePEc data on a server sponsored by the Society for Economic Dynamics.