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


  • Kristina Burström
  • Magnus Johannesson
  • Finn Diderichsen


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, August.
  • 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. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, May.
    2. 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.
    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. 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.
    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. 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.
    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, June.
    3. 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.
    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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