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Valuing Health at the End of Life: A Stated Preference Discrete Choice Experiment

Author

Listed:
  • Shah, K.
  • Tsuchiya, A.
  • Risa Hole, A.
  • Wailoo, A.

Abstract

In 2009, the UK's National Institute for Health and Clinical Excellence (NICE) issued supplementary advice that its Appraisal Committees are to consider when assessing treatments that extend life at the end of life. This includes an option for approving such treatments for use in the NHS if certain criteria are met, even if base case cost-effectiveness estimates exceed the range usually considered acceptable. The policy thus places additional weight on the survival benefits for a small numbers of patients with terminal illnesses and short life expectancies. It assumes that this accurately reflects the preferences of the general public. However, little scientific evidence is available to support that premise. With funding from NICE's Decision Support Unit, Koonal Shah of the OHE has collaborated with Aki Tsuchiya, Arne Risa Hole and Allan Wailoo of the University of Sheffield to conduct research to help fill this void. A discrete choice experiment was conducted in March 2012 with a sample of 3,969 members of the general public in England and Wales. In reporting the results of the research, the authors state that - 'Overall, the results of this study do not suggest that the cut-offs implied by the existing NICE supplementary end of life policy require amending, and in fact call into question whether such a policy of giving higher priority to end of life treatments than to other types of treatments is supported by the public at all, particularly if the health gains offered by the treatments being 'de-prioritised' are larger than those offered by the end of life treatments.' A revised version of this paper has been published in Social Science & Medicine and can be downloaded from - http://www.sciencedirect.com/science/article/pii/S027795361400745X Please cite as - Shah, K. K., Tsuchiya, A. and Wailoo, A. J., 2015. Valuing health at the end of life - A stated preference discrete choice experiment. Social Science & Medicine, 124, pp.48-56.

Suggested Citation

  • Shah, K. & Tsuchiya, A. & Risa Hole, A. & Wailoo, A., 2012. "Valuing Health at the End of Life: A Stated Preference Discrete Choice Experiment," Research Papers 000132, Office of Health Economics.
  • Handle: RePEc:ohe:respap:000132
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    File URL: https://www.ohe.org/system/files/private/publications/379%20-%20Valuing%20Health%20at%20End%20ResPap%2012-04%20Shah%202012%20NEW.pdf
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    References listed on IDEAS

    as
    1. Shah, Koonal K., 2009. "Severity of illness and priority setting in healthcare: A review of the literature," Health Policy, Elsevier, vol. 93(2-3), pages 77-84, December.
    2. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    3. Pinto-Prades, Jose-Luis & Sánchez-Martínez, Fernando-Ignacio & Corbacho, Belen & Baker, Rachel, 2014. "Valuing QALYs at the end of life," Social Science & Medicine, Elsevier, vol. 113(C), pages 5-14.
    4. Louviere,Jordan J. & Hensher,David A. & Swait,Joffre D., 2000. "Stated Choice Methods," Cambridge Books, Cambridge University Press, number 9780521788304, December.
    5. Paul Dolan & Rebecca Shaw & Aki Tsuchiya & Alan Williams, 2005. "QALY maximisation and people's preferences: a methodological review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 14(2), pages 197-208.
    6. Julia Witt & Anthony Scott & Richard H. Osborne, 2009. "Designing choice experiments with many attributes. An application to setting priorities for orthopaedic waiting lists," Health Economics, John Wiley & Sons, Ltd., vol. 18(6), pages 681-696.
    7. Koonal Shah & Aki Tsuchiya & Allan Wailoo, 2014. "Valuing health at the end of life: an empirical study of public preferences," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(4), pages 389-399, May.
    8. E. Wetering & E. Stolk & N. Exel & W. Brouwer, 2013. "Balancing equity and efficiency in the Dutch basic benefits package using the principle of proportional shortfall," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(1), pages 107-115, February.
    9. Garau, M. & Shah, K. & Mason, A.R & Wang, Q. & Towse, A. & Drummond, M.F, 2010. "Using QALYs in Cancer: Review of the Methodological Limitations," Research Papers 000211, Office of Health Economics.
    10. Deborah Marshall & John Bridges & Brett Hauber & Ruthanne Cameron & Lauren Donnalley & Ken Fyie & F. Reed Johnson, 2010. "Conjoint Analysis Applications in Health — How are Studies being Designed and Reported?," The Patient: Patient-Centered Outcomes Research, Springer;Johns Hopkins Bloomberg School of Public Health, vol. 3(4), pages 249-256, December.
    11. Emily Lancsar & Jordan Louviere, 2006. "Deleting 'irrational' responses from discrete choice experiments: a case of investigating or imposing preferences?," Health Economics, John Wiley & Sons, Ltd., vol. 15(8), pages 797-811.
    12. Colin Green & Karen Gerard, 2009. "Exploring the social value of health-care interventions: a stated preference discrete choice experiment," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 951-976.
    13. Warren G. Linley & Dyfrig A. Hughes, 2013. "Societal Views On Nice, Cancer Drugs Fund And Value‐Based Pricing Criteria For Prioritising Medicines: A Cross‐Sectional Survey Of 4118 Adults In Great Britain," Health Economics, John Wiley & Sons, Ltd., vol. 22(8), pages 948-964, August.
    14. Paul Dolan & Aki Tsuchiya, 2011. "Determining the parameters in a social welfare function using stated preference data: an application to health," Applied Economics, Taylor & Francis Journals, vol. 43(18), pages 2241-2250.
    15. repec:ohe:monogr:000473 is not listed on IDEAS
    16. Shah, K. & Tsuchiya, A. & Wailoo, A., 2011. "Valuing Health at the End of Life: An Exploratory Preference Elicitation Study," Research Papers 000172, Office of Health Economics.
    17. Richardson, Jeff & McKie, John, 2005. "Empiricism, ethics and orthodox economic theory: what is the appropriate basis for decision-making in the health sector?," Social Science & Medicine, Elsevier, vol. 60(2), pages 265-275, January.
    18. Fredrik Carlsson & Peter Martinsson, 2003. "Design techniques for stated preference methods in health economics," Health Economics, John Wiley & Sons, Ltd., vol. 12(4), pages 281-294.
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    Cited by:

    1. repec:eee:socmed:v:198:y:2018:i:c:p:61-69 is not listed on IDEAS
    2. S. Olofsson & U.-G. Gerdtham & L. Hultkrantz & U. Persson, 2018. "Measuring the end-of-life premium in cancer using individual ex ante willingness to pay," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 807-820, July.
    3. Christopher McCabe & Ash Paul & Greg Fell & Mike Paulden, 2016. "Cancer Drugs Fund 2.0: A Missed Opportunity?," PharmacoEconomics, Springer, vol. 34(7), pages 629-633, July.
    4. Shah, K. & Chapman, A. & Devlin, N. & Barnsley, P., 2015. "Do Respondents Completing Abstract, Hypothetical Priority-setting Exercises Agree With the Policy Implications of Their Choices?," Consulting Reports 001576, Office of Health Economics.
    5. repec:eee:socmed:v:204:y:2018:i:c:p:39-50 is not listed on IDEAS

    More about this item

    Keywords

    Judging value for money and improving decision making;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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