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Evaluating healthy days of life gained from health projects

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  • Barnum, Howard

Abstract

This paper draws attention to the importance of incorporating weights for time preference and productivity in using the concept of healthy days of life lost to evaluate healthy projects. Two alternative health strategies are defined for Ghana and evaluated, over a range of discount rates from 0 to 20%, with regard to the present value of productive life saved. It is found that the relative ranking of the projects is sensitive to the choice of discount rates. The sensitivity of disease rankings to the underlying morbidity and fatality rates is also examined and the results underline the importance of obtaining better epidemiological baseline data and information on project effectiveness if the potential usefulness of the healthy days of life approach to project evaluation is to be fully realized.

Suggested Citation

  • Barnum, Howard, 1987. "Evaluating healthy days of life gained from health projects," Social Science & Medicine, Elsevier, vol. 24(10), pages 833-841, January.
    • Handle: RePEc:eee:socmed:v:24:y:1987:i:10:p:833-841
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    Citations

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    Cited by:

    1. Hickson, Kerry Jane, 2009. "The contribution of increased life expectancy to economic development in twentieth century Japan," Journal of Asian Economics, Elsevier, vol. 20(4), pages 489-504, September.
    2. Frederick, Shane, 2006. "Valuing future life and future lives: A framework for understanding discounting," Journal of Economic Psychology, Elsevier, vol. 27(5), pages 667-680, October.
    3. Rong Zheng & Lingyun Meng & Aduqinfu He, 2024. "Biological Sex Disparities in the Economic Burden of Tobacco Use: A Comparative Analysis between Men and Women in China," IJERPH, MDPI, vol. 21(8), pages 1-7, July.
    4. Fuhai Shen & Hongbo Liu & Juxiang Yuan & Bing Han & Kai Cui & Yu Ding & Xueyun Fan & Hong Cao & Sanqiao Yao & Xia Suo & Zhiqian Sun & Xiang Yun & Zhengbing Hua & Jie Chen, 2015. "Cost-Effectiveness of Coal Workers' Pneumoconiosis Prevention Based on Its Predicted Incidence within the Datong Coal Mine Group in China," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-17, June.
    5. Wiseman, Virginia & Mooney, Gavin, 1998. "SOUNDING BOARD: Burden of illness estimates for priority setting: a debate revisited," Health Policy, Elsevier, vol. 43(3), pages 243-251, March.

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