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Life satisfaction, QALYs, and the monetary value of health

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  • Huang, Li
  • Frijters, Paul
  • Dalziel, Kim
  • Clarke, Philip

Abstract

The monetary value of a quality-adjusted life-year (QALY) is frequently used to assess the benefits of health interventions and inform funding decisions. However, there is little consensus on methods for the estimation of this monetary value. In this study, we use life satisfaction as an indicator of ‘experienced utility’, and estimate the dollar equivalent value of a QALY using a fixed effect model with instrumental variable estimators. Using a nationally-representative longitudinal survey including 28,347 individuals followed during 2002–2015 in Australia, we estimate that individual's willingness to pay for one QALY is approximately A$42,000-A$67,000, and the willingness to pay for not having a long-term condition approximately A$2000 per year. As the estimates are derived using population-level data and a wellbeing measurement of life satisfaction, the approach has the advantage of being socially inclusive and recognizes the significant meaning of people's subjective valuations of health. The method could be particularly useful for nations where QALY thresholds are not yet validated or established.

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  • Huang, Li & Frijters, Paul & Dalziel, Kim & Clarke, Philip, 2018. "Life satisfaction, QALYs, and the monetary value of health," Social Science & Medicine, Elsevier, vol. 211(C), pages 131-136.
    • Handle: RePEc:eee:socmed:v:211:y:2018:i:c:p:131-136
    DOI: 10.1016/j.socscimed.2018.06.009
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    Cited by:

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    2. Elizabeth A. Geelhoed & David E. Bloom & Catherine Bock & Paul Flatau & Joelie Mandzufas & Ian Li & Donna Cross, 2022. "Informing Resource Allocation for Investment in Early Childhood: A Review of the International Peer‐Reviewed Evidence," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 55(2), pages 215-231, June.
    3. Tinna Laufey Ásgeirsdóttir & Arnar Buason & Ásthildur Margrét Jóhannsdóttir, 2023. "Valuing the Wellbeing Associated with Psychosocial Factors at Work," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(4), pages 1737-1759, August.
    4. Sriubaite, I. & Harris, A. & Jones, A.M. & Gabbe, B., 2020. "Economic Consequences of Road Traffic Injuries. Application of the Super Learner algorithm," Health, Econometrics and Data Group (HEDG) Working Papers 20/20, HEDG, c/o Department of Economics, University of York.
    5. Huang, Li & Devlin, Nancy & Chen, Gang & Dalziel, Kim, 2024. "A happiness approach to valuing health states for children," Social Science & Medicine, Elsevier, vol. 348(C).
    6. Si Si & Kate Lewkowski & Lin Fritschi & Jane Heyworth & Danny Liew & Ian Li, 2020. "Productivity Burden of Occupational Noise-Induced Hearing Loss in Australia: A Life Table Modelling Study," IJERPH, MDPI, vol. 17(13), pages 1-9, June.
    7. 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.
    8. Krekel, Christian & De Neve, Jan-Emmanuel & Fancourt, Daisy & Layard, Richard, 2021. "A local community course that raises wellbeing and pro-sociality: Evidence from a randomised controlled trial," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 322-336.
    9. Kristjana Baldursdottir & Paul McNamee & Edward C. Norton & Tinna Laufey Asgeirsdottir, 2023. "Life satisfaction and body mass index: estimating the monetary value of achieving optimal body weight," Review of Economics of the Household, Springer, vol. 21(4), pages 1215-1246, December.
    10. Frijters, Paul & Krekel, Christian & Ulker, Aydogan, 2023. "Should bads be inflicted all at once, like Machiavelli said? Evidence from life-satisfaction data," Journal of Economic Behavior & Organization, Elsevier, vol. 205(C), pages 1-27.
    11. Prakash, Kushneel & Awaworyi Churchill, Sefa & Smyth, Russell, 2020. "Petrol prices and subjective wellbeing," Energy Economics, Elsevier, vol. 90(C).
    12. Christian R. C. Kouakou & Thomas G. Poder, 2022. "Willingness to pay for a quality-adjusted life year: a systematic review with meta-regression," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(2), pages 277-299, March.
    13. Baldursdottir, Kristjana & Asgeirsdottir, Tinna Laufey & Olafsdottir, Thorhildur, 2023. "How sensitive is the compensating income variation to severity and adaptation?," Economics & Human Biology, Elsevier, vol. 49(C).
    14. Awaworyi Churchill, Sefa & Smyth, Russell & Farrell, Lisa, 2020. "Fuel poverty and subjective wellbeing," Energy Economics, Elsevier, vol. 86(C).
    15. Stöckel, Jannis & van Exel, Job & Brouwer, Werner B.F., 2023. "Adaptation in life satisfaction and self-assessed health to disability - Evidence from the UK," Social Science & Medicine, Elsevier, vol. 328(C).
    16. Ryota Arai & Masashi Kiguchi & Michio Murakami, 2020. "A Quantitative Estimation of the Effects of Measures to Counter Climate Change on Well-Being: Focus on Non-Use of Air Conditioners as a Mitigation Measure in Japan," Sustainability, MDPI, vol. 12(20), pages 1-18, October.

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    More about this item

    Keywords

    Australia; Wellbeing; Life satisfaction; QALY; Value of health;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics

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