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Developing methods that really do value the ‘Q’ in the QALY

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  • DOLAN, PAUL

Abstract

Most health economists recommend that improvements in health be valued by asking members of the general public to imagine themselves in different states of health and then to think about how many years of life they would give up or what risk of death they would be willing to accept in order to be in full health. In this paper, I argue that preferences are not a very good guide to future experiences and a more suitable way to value health is to ask people in different states of health how they think and feel about their lives. Valuing health in this way may result in greater priority being given to mental health services. Whatever the precise implications, it is my contention that it is much better to ration health care according to real experiences rather than according to hypothetical preferences.

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  • Dolan, Paul, 2008. "Developing methods that really do value the ‘Q’ in the QALY," Health Economics, Policy and Law, Cambridge University Press, vol. 3(1), pages 69-77, January.
    • Handle: RePEc:cup:hecopl:v:3:y:2008:i:01:p:69-77_00
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    Cited by:

    1. Philippe Tessier & Josselin Thuilliez, 2018. "Does freedom make a difference?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(8), pages 1189-1205, November.
    2. Katherine Payne & Marion McAllister & Linda M. Davies, 2013. "Valuing The Economic Benefits Of Complex Interventions: When Maximising Health Is Not Sufficient," Health Economics, John Wiley & Sons, Ltd., vol. 22(3), pages 258-271, March.
    3. Blome, Christine & Augustin, Matthias, 2016. "Measuring change in subjective wellbeing: Methods to quantify recall bias and recalibration response shift," hche Research Papers 12, University of Hamburg, Hamburg Center for Health Economics (hche).
    4. Smith Dylan M, 2011. "Time Use and Well-being, and Large Survey Studies," Forum for Health Economics & Policy, De Gruyter, vol. 14(2), pages 1-16, April.
    5. Adriana Castelli & Rowena Jacobs & Maria Goddard & Peter C Smith, 2009. "Exploring the impact of public services on quality of life indicators," Working Papers 046cherp, Centre for Health Economics, University of York.
    6. N. Flynn, Terry & J. Peters, Tim & Coast, Joanna, 2013. "Quantifying response shift or adaptation effects in quality of life by synthesising best-worst scaling and discrete choice data," Journal of choice modelling, Elsevier, vol. 6(C), pages 34-43.
    7. Lynch, Frances L. & Dickerson, John F. & Pears, Katherine C. & Fisher, Philip A., 2017. "Cost effectiveness of a school readiness intervention for foster children," Children and Youth Services Review, Elsevier, vol. 81(C), pages 63-71.
    8. Sebastian Himmler & Job Exel & Werner Brouwer, 2020. "Estimating the monetary value of health and capability well-being applying the well-being valuation approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1235-1244, November.
    9. Joshua F. Ceñido & C. Freeman & Shahrzad Bazargan-Hejazi, 2019. "Environmental Interventions for Physical and Mental Health: Challenges and Opportunities for Greater Los Angeles," IJERPH, MDPI, vol. 16(12), pages 1-14, June.
    10. Bussière, Clémence & Sirven, Nicolas & Tessier, Philippe, 2021. "Does ageing alter the contribution of health to subjective well-being?," Social Science & Medicine, Elsevier, vol. 268(C).
    11. Lynch, Frances L. & Dickerson, John F. & Saldana, Lisa & Fisher, Phillip A., 2014. "Incremental net benefit of early intervention for preschool-aged children with emotional and behavioral problems in foster care," Children and Youth Services Review, Elsevier, vol. 36(C), pages 213-219.
    12. Tessa Peasgood & Jill Carlton & John Brazier, 2019. "A Qualitative Study of the Views of Health and Social Care Decision-Makers on the Role of Wellbeing in Resource Allocation Decisions in the UK," Economies, MDPI, vol. 7(1), pages 1-13, February.
    13. Bromley, Hannah L. & Petrie, Dennis & Mann, G.Bruce & Nickson, Carolyn & Rea, Daniel & Roberts, Tracy E., 2019. "Valuing the health states associated with breast cancer screening programmes: A systematic review of economic measures," Social Science & Medicine, Elsevier, vol. 228(C), pages 142-154.
    14. Hernández-Alava, Mónica & Sampson, Christopher & Wailoo, Allan, 2013. "Happy and healthy: a joint model of health and life satisfaction," MPRA Paper 49766, University Library of Munich, Germany.
    15. Flynn, Terry Nicholas & Louviere, Jordan J. & Peters, Tim J. & Coast, Joanna, 2010. "Using discrete choice experiments to understand preferences for quality of life. Variance-scale heterogeneity matters," Social Science & Medicine, Elsevier, vol. 70(12), pages 1957-1965, June.
    16. Dylan M. Smith, 2015. "Using The Day Reconstruction Method To Quantify Time Spent Suffering Among Older Adults With Chronic Pain," Statistics in Transition New Series, Polish Statistical Association, vol. 16(3), pages 429-440, September.
    17. Terry Flynn, 2010. "Using Conjoint Analysis and Choice Experiments to Estimate QALY Values," PharmacoEconomics, Springer, vol. 28(9), pages 711-722, September.
    18. Dylan M. Smith, 2015. "Using the Day Reconstruction Method to Quantify Time Spent Suffering among Older Adults with Chronic Pain," Statistics in Transition new series, Główny Urząd Statystyczny (Polska), vol. 16(3), pages 429-440, September.
    19. Jeff Richardson & Angelo Iezzi & Kompal Sinha & Munir A. Khan & John Mckie, 2014. "An Instrument For Measuring The Social Willingness To Pay For Health State Improvement," Health Economics, John Wiley & Sons, Ltd., vol. 23(7), pages 792-805, July.

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