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Trying to estimate a monetary value for the QALY

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Author Info
Jose Luis Pinto Prades () (Department of Economics, Universidad Pablo de Olavide)
Graham Loomes () (Department of Economics, University of East Anglia)
Raul Brey () (Department of Economics, Universidad Pablo de Olavide)
Abstract

In this paper we study the possibility of estimating a monetary value for the QALY. Using two different surveys of the Spanish population (n=900), we try to establish whether willingness to pay (WTP) is (almost) proportional to the health gains measured in QALYs. We also explore whether subjects’ responses are prone to any biases. We find that the monetary value of the QALY is higher the smaller the health gain, pointing to insensitivity in WTP. We also find two clear biases. One is the existence of sequencing effects. The other is the insensitivity of WTP to the duration of the period of payment. All these effects translate into a large variation in estimates of the monetary value of the QALY. We conclude that in order to be able to obtain consistent and stable estimates, we should try to understand better the causes of these problems with a view to developing ways of mitigating them.

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File URL: http://www.upo.es/serv/bib/wps/econ0809.pdf
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File Function: First version, 2008
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Publisher Info
Paper provided by Universidad Pablo de Olavide, Departamento de Economía in its series Working Papers with number 08.09.

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Length: 25 pages
Date of creation: May 2008
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Handle: RePEc:pab:wpaper:08.09

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Related research
Keywords: QALYs willingness to pay biases.

Find related papers by JEL classification:
I10 - Health, Education, and Welfare - - Health - - - General
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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References listed on IDEAS
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  1. Johannesson, Magnus & O'Conor, Richard M., 1997. "Cost-utility analysis from a societal perspective," Health Policy, Elsevier, vol. 39(3), pages 241-253, March. [Downloadable!] (restricted)
  2. Andrew H. Briggs & David E. Wonderling & Christopher Z. Mooney, 1997. "Pulling cost-effectiveness analysis up by its bootstraps: A non-parametric approach to confidence interval estimation," Health Economics, John Wiley & Sons, Ltd., vol. 6(4), pages 327-340.
  3. 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.
  4. Stewart, Jennifer M. & O'Shea, Eamon & Donaldson, Cam & Shackley, Phil, 2002. "Do ordering effects matter in willingness-to-pay studies of health care?," Journal of Health Economics, Elsevier, vol. 21(4), pages 585-599, July. [Downloadable!] (restricted)
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  5. Karen Blumenschein & GlennC. Blomquist & Magnus Johannesson & Nancy Horn & Patricia Freeman, 2008. "Eliciting Willingness to Pay Without Bias: Evidence from a Field Experiment," Economic Journal, Royal Economic Society, vol. 118(525), pages 114-137, 01. [Downloadable!] (restricted)
  6. Dorte Gyrd-Hansen, 2003. "Willingness to pay for a QALY," Health Economics, John Wiley & Sons, Ltd., vol. 12(12), pages 1049-1060. [Downloadable!]
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