IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v20y2000i2p207-215.html
   My bibliography  Save this article

Income Effects of Reduced Health and Health Effects of Reduced Income:

Author

Listed:
  • Mark J. Sculpher
  • Bernie J. O'Brien

Abstract

There is increasing use of multiattribute health-state utility systems, such as the Health Utilities Index and the EuroQol (now EQ-5D), to estimate quality-adjusted life years (QALYs) for cost-utility analysis. Whereas the preferences elicited from individuals using willingness-to-pay techniques for cost-benefit analysis would be expected to reflect those individuals' income levels, it is often suggested that cost-utility analysis can avoid this income effect by not valuing health in monetary terms. Contrary to this view, the authors argue that income can influence the measurement of utilities used to estimate QALYs. In the context of multiattribute utility instruments, two income effects can take place: 1) when individuals are asked to value health states to generate the set of utilities to apply in subsequent evaluation studies; 2) when those multiattribute systems are used to categonze indimduals' (usually patients') health status in the field in applied evaluation studies. The authors review the most popular utility systems regarding how these income effects are handled and assess the implications for the measurement of utilities using these systems. Key words: cost-utility analyses; health-state valuation; income effects; multiattribute utility instruments. (Med Decis Making 2000;20:207-215)

Suggested Citation

  • Mark J. Sculpher & Bernie J. O'Brien, 2000. "Income Effects of Reduced Health and Health Effects of Reduced Income:," Medical Decision Making, , vol. 20(2), pages 207-215, April.
    • Handle: RePEc:sae:medema:v:20:y:2000:i:2:p:207-215
    DOI: 10.1177/0272989X0002000206
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X0002000206
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X0002000206?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. C Donaldson & S Birch & A Gafni, 1998. "The 'Distribution Problem' in Economic Evaluation: Income and the Valuation of Costs and Consequences of Health Care Programmes," Centre for Health Economics and Policy Analysis Working Paper Series 1998-10, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
    2. Clive Pritchard, 1998. "Trends in Economic Evaluation," Briefing 000444, Office of Health Economics.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Office of Health Economics, 1998. "Controlling NHS Expenditure: The Impact of Labour’s NHS White Papers," Monograph 000435, Office of Health Economics.
    2. Nick Marchant, 1998. "Tuberculosis," Series on Health 000445, Office of Health Economics.
    3. Jeffrey Hoch & Carolyn Dewa, 2007. "Lessons from Trial-Based Cost-Effectiveness Analyses of Mental Health Interventions," PharmacoEconomics, Springer, vol. 25(10), pages 807-816, October.
    4. Hannah Kettler, 1998. "Competition through Innovation, Innovation through Competition," Monograph 000434, Office of Health Economics.
    5. Mark Sculpher & Michael Palmer & Anne Heyes, 2000. "Costs Incurred by Patients Undergoing Advanced Colorectal Cancer Therapy," PharmacoEconomics, Springer, vol. 17(4), pages 361-370, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:20:y:2000:i:2:p:207-215. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.