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What Does Society Value About Cancer Medicines? A Discrete Choice Experiment in the Belgian Population

Author

Listed:
  • Kim Pauwels

    (KU Leuven)

  • Isabelle Huys

    (KU Leuven)

  • Minne Casteels

    (KU Leuven)

  • Yvonne Denier

    (KU Leuven)

  • Martina Vandebroek

    (KU Leuven)

  • Steven Simoens

    (KU Leuven)

Abstract

Background Debate on pricing and reimbursement of cancer medicines highlights the need to establish the value of cancer medicines. Objective This study aims to elicit the trade-offs in cancer medicine characteristics that the Belgian population is willing to make. Methods A discrete choice experiment used six attributes with three levels each, based on literature and focus group discussions. The survey was sent to a random sample of 3500 Belgian citizens. Based on the choice of 961 respondents, individual parameters were estimated with a mixed logit model. Results Societal value of cancer medicines was positively affected by a higher number of patients eligible for treatment, a high initial life expectancy and quality of life of patients, a high gain in quality of life and life expectancy due to treatment, and a low treatment cost. The value of 1-year gain in life expectancy was independent from the initial life expectancy of the patient. However, the value of one-point gain in quality of life was higher for patients with a low initial quality of life than for patients with a high initial quality of life. Conclusions This study has shown that gain in quality of life with cancer medicines is valued higher by Belgian society for patients who have lower initial quality of life before the start of treatment.

Suggested Citation

  • Kim Pauwels & Isabelle Huys & Minne Casteels & Yvonne Denier & Martina Vandebroek & Steven Simoens, 2019. "What Does Society Value About Cancer Medicines? A Discrete Choice Experiment in the Belgian Population," Applied Health Economics and Health Policy, Springer, vol. 17(6), pages 895-902, December.
    • Handle: RePEc:spr:aphecp:v:17:y:2019:i:6:d:10.1007_s40258-019-00504-4
    DOI: 10.1007/s40258-019-00504-4
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    References listed on IDEAS

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    1. Seda Erdem & Danny Campbell & Arne Risa Hole, 2015. "Accounting for Attribute‐Level Non‐Attendance in a Health Choice Experiment: Does it Matter?," Health Economics, John Wiley & Sons, Ltd., vol. 24(7), pages 773-789, July.
    2. Erdem, Seda & Campbell, Danny & Thompson, Carl, 2014. "Elimination and selection by aspects in health choice experiments: Prioritising health service innovations," Journal of Health Economics, Elsevier, vol. 38(C), pages 10-22.
    3. Gu, Yuanyuan & Lancsar, Emily & Ghijben, Peter & Butler, James RG & Donaldson, Cam, 2015. "Attributes and weights in health care priority setting: A systematic review of what counts and to what extent," Social Science & Medicine, Elsevier, vol. 146(C), pages 41-52.
    4. Stirling Bryan & Tracy Roberts & Chris Heginbotham & Alison McCallum, 2002. "QALY‐maximisation and public preferences: results from a general population survey," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 679-693, December.
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