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Re‐Thinking ‘The Different Perspectives That can be Used When Eliciting Preferences in Health’

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  • Aki Tsuchiya
  • Verity Watson

Abstract

The 2003 Health Economics paper by Dolan, Olsen, Menzel and Richardson on ‘An inquiry into the different perspectives that can be used when eliciting preferences in health’ presents a conceptual framework of six perspectives along two dimensions: preferences (personal, social, and socially inclusive personal) and context (ex ante and ex post). The objective of our paper is to re‐think this framework. We ask four questions concerning: the patient, or the user of the treatment; the payer of the treatment; the assessor of the value of treatment; and the timing of the illness and the nature of its risk. These questions refine the preference and context dimensions, and lead to the identification of perspectives not classified by the original framework. We propose an extended framework with five preferences (personal, non‐use, proxy, social, and socially inclusive personal) and five contexts (one of which is ex post and four ex ante): since two of these cells are empty, this results in 23 possible perspectives. Online Supplementary Information presents 11 of these more formally to clearly distinguish between them and uses monetary and non‐monetary (time trade‐off) valuation tasks as examples. Copyright © 2017 John Wiley & Sons, Ltd.

Suggested Citation

  • Aki Tsuchiya & Verity Watson, 2017. "Re‐Thinking ‘The Different Perspectives That can be Used When Eliciting Preferences in Health’," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 103-107, December.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:12:p:e103-e107
    DOI: 10.1002/hec.3480
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    References listed on IDEAS

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    1. Dolan, Paul & Tsuchiya, Aki, 2009. "The social welfare function and individual responsibility: Some theoretical issues and empirical evidence," Journal of Health Economics, Elsevier, vol. 28(1), pages 210-220, January.
    2. B O'Brien & A Gafni, 1996. "When Do the "Dollars" Make Sense? Toward a Conceptual Framework for Contingent Valuation Studies in Health Care," Centre for Health Economics and Policy Analysis Working Paper Series 1996-22, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    3. 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, July.
    4. David L.B. Schwappach, 2005. "Are Preferences for Equality a Matter of Perspective?," Medical Decision Making, , vol. 25(4), pages 449-459, July.
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    1. Hansen, Lise Desireé & Kjær, Trine, 2019. "Disentangling public preferences for health gains at end-of-life: Further evidence of no support of an end-of-life premium," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    2. Gibbs, Naomi & Powell, Philip A. & Tsuchiya, Aki, 2019. "Equal access for equal need: Eliciting public preferences for access to health treatment by employment status," Social Science & Medicine, Elsevier, vol. 222(C), pages 246-255.
    3. Caroline M Vass & Anne Barton & Katherine Payne, 2022. "Towards Personalising the Use of Biologics in Rheumatoid Arthritis: A Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 15(1), pages 109-119, January.

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