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Can Multi-attribute Utility Instruments Adequately Account for Subjective Well-being?

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Listed:
  • Jeff Richardson
  • Gang Chen
  • Munir A. Khan
  • Angelo Iezzi

Abstract

Introduction: The quality of life is included in cost utility analyses by weighting the relevant years of life by health state utilities. However, the utilities predicted by multi-attribute utility instruments (MAUIs) for this purpose do not correlate highly with the subjective well-being (SWB) of people experiencing the health states. This suggests that MAUIs may not take account of the SWB experienced by patients. This article explores an alternative hypothesis: that a failure of an MAUI to account for variation in SWB is primarily a result of the failure of its descriptive system to include the elements of health that determine SWB and that cannot therefore be included in assessment of the health state utility. Methods: Survey data are used to determine the extent to which 6 MAUIs with significantly different descriptive systems explain differences between the SWB of the healthy public and patients in 7 disease areas. Results: The EQ-5D-5L takes least account and AQoL-8D most account of SWB. AQoL-8D overpredicts the loss of SWB in 2 cases where hedonic adaptation is known to occur. Discussion: Results suggest that, to a large extent, utility can account for variation in SWB. The case for replacing utility with SWB in economic evaluation studies has arisen, in part, because elements of importance for SWB have been omitted from the descriptive systems of commonly used MAUIs.

Suggested Citation

  • Jeff Richardson & Gang Chen & Munir A. Khan & Angelo Iezzi, 2015. "Can Multi-attribute Utility Instruments Adequately Account for Subjective Well-being?," Medical Decision Making, , vol. 35(3), pages 292-304, April.
    • Handle: RePEc:sae:medema:v:35:y:2015:i:3:p:292-304
    DOI: 10.1177/0272989X14567354
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    References listed on IDEAS

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    1. Daniel Kahneman & Peter P. Wakker & Rakesh Sarin, 1997. "Back to Bentham? Explorations of Experienced Utility," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(2), pages 375-406.
    2. Smith, Dylan M. & Brown, Stephanie L. & Ubel, Peter A., 2008. "Are subjective well-being measures any better than decision utility measures?," Health Economics, Policy and Law, Cambridge University Press, vol. 3(1), pages 85-91, January.
    3. Simon, Judit & Anand, Paul & Gray, Alastair & Rugkåsa, Jorun & Yeeles, Ksenija & Burns, Tom, 2013. "Operationalising the capability approach for outcome measurement in mental health research," Social Science & Medicine, Elsevier, vol. 98(C), pages 187-196.
    4. Daniel Kahneman & Alan B. Krueger, 2006. "Developments in the Measurement of Subjective Well-Being," Journal of Economic Perspectives, American Economic Association, vol. 20(1), pages 3-24, Winter.
    5. Ingrid Robeyns, 2005. "The Capability Approach: a theoretical survey," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 6(1), pages 93-117.
    6. Joanna Coast & Richard Smith & Paula Lorgelly, 2008. "Should the capability approach be applied in Health Economics?," Health Economics, John Wiley & Sons, Ltd., vol. 17(6), pages 667-670, June.
    7. G. Ardine De Wit & Jan J.V. Busschbach & Frank Th. De Charro, 2000. "Sensitivity and perspective in the valuation of health status: whose values count?," Health Economics, John Wiley & Sons, Ltd., vol. 9(2), pages 109-126, March.
    8. Robert Cummins, 1998. "The Second Approximation to an International Standard for Life Satisfaction," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 43(3), pages 307-334, March.
    9. Böckerman, Petri & Johansson, Edvard & Saarni, Samuli I., 2011. "Do established health-related quality-of-life measures adequately capture the impact of chronic conditions on subjective well-being?," Health Policy, Elsevier, vol. 100(1), pages 91-95, April.
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    Cited by:

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    3. Engel, Lidia & Bryan, Stirling & Noonan, Vanessa K. & Whitehurst, David G.T., 2018. "Using path analysis to investigate the relationships between standardized instruments that measure health-related quality of life, capability wellbeing and subjective wellbeing: An application in the context of spinal cord injury," Social Science & Medicine, Elsevier, vol. 213(C), pages 154-164.

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