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


  • 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.

Suggested Citation

  • Kristina Burström & Magnus Johannesson & Finn Diderichsen, 2003. "The value of the change in health in Sweden 1980|81 to 1996|97," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 637-654.
  • Handle: RePEc:wly:hlthec:v:12:y:2003:i:8:p:637-654 DOI: 10.1002/hec.754

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    References listed on IDEAS

    1. 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 79-92, August.
    2. 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.
    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 223-255, March-Apr.
    4. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, January.
    5. 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.
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    Cited by:

    1. Fritzell, Sara & Burstrom, Bo, 2006. "Economic strain and self-rated health among lone and couple mothers in Sweden during the 1990s compared to the 1980s," Health Policy, Elsevier, vol. 79(2-3), pages 253-264, December.
    2. Rodrigo R. Soares, 2007. "On the Determinants of Mortality Reductions in the Developing World," Population and Development Review, The Population Council, Inc., vol. 33(2), pages 247-287.
    3. Soares, Rodrigo R., 2007. "Health and the evolution of welfare across Brazilian municipalities," Journal of Development Economics, Elsevier, vol. 84(2), pages 590-608, November.
    4. D.P. Doessel & Ruth F.G. Williams, 2012. "The New Welfare Measures," Working Papers 2012.07, School of Economics, La Trobe University.
    5. 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.
    6. 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.
    7. 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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