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Is there additional value attached to health gains at the end-of-life? A re-visit

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Abstract

Researchers have in recent years sought to establish whether the general public value treatment at the end-of-life (EOL) more highly than other treatments. Results are mixed, with social preferences most often exhibiting lack of preferences for EOL treatments. This nul-result may be driven by the often applied study design, where respondents are to choose between treatments targeting patients with varying fixed life-expectancies. When remaining life is certain and salient, a rule-of-rescue sentiment may drive preferences across all scenarios. This study presents a different design, where the comparator is a preventive intervention. We study preferences from both an individual and social perspective, and find no preference for an EOL premium when age is held constant. We test the interaction between age and EOL treatment, and finder stronger preferences when patients face premature death.

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  • Gyrd-Hansen, Dorte, 2017. "Is there additional value attached to health gains at the end-of-life? A re-visit," DaCHE discussion papers 2017:2, University of Southern Denmark, Dache - Danish Centre for Health Economics.
    • Handle: RePEc:hhs:sduhec:2017_002
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    File URL: http://www.sdu.dk/-/media/files/om_sdu/centre/cohere/working+papers/2017/wp_2017_02.pdf?la=da
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    1. Mark Pennington & Rachel Baker & Werner Brouwer & Helen Mason & Dorte Gyrd Hansen & Angela Robinson & Cam Donaldson & the EuroVaQ Team, 2015. "Comparing WTP Values of Different Types of QALY Gain Elicited from the General Public," Health Economics, John Wiley & Sons, Ltd., vol. 24(3), pages 280-293, March.
    2. Pinto-Prades, Jose-Luis & Sánchez-Martínez, Fernando-Ignacio & Corbacho, Belen & Baker, Rachel, 2014. "Valuing QALYs at the end of life," Social Science & Medicine, Elsevier, vol. 113(C), pages 5-14.
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    1. S. Olofsson & U.-G. Gerdtham & L. Hultkrantz & U. Persson, 2018. "Measuring the end-of-life premium in cancer using individual ex ante willingness to pay," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 807-820, July.
    2. Shah, Koonal K. & Tsuchiya, Aki & Wailoo, Allan J., 2018. "Valuing health at the end of life: A review of stated preference studies in the social sciences literature," Social Science & Medicine, Elsevier, vol. 204(C), pages 39-50.

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    More about this item

    Keywords

    Stated preferences; priority setting; end-of-life treatment;
    All these keywords.

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy

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