Valuing QALYs in Relation to Equity Considerations Using a Discrete Choice Experiment.

ABSTRACT:

Background

To judge whether an intervention offers value for money, the incremental costs per gained quality-adjusted life-year (QALY) need to be compared with some relevant threshold, which ideally reflects the monetary value of health gains. Literature suggests that this value may depend on the equity context in which health gains are produced, but the value of a QALY in relation to equity considerations has remained largely unexplored.

Objective

The objective of this study was to estimate the social marginal willingness to pay (MWTP) for QALY gains in different equity subgroups, using a discrete choice experiment (DCE). Both severity of illness (operationalized as proportional shortfall) and fair innings (operationalized as age) were considered as grounds for differentiat

SUBMITTER: van de Wetering L 

PROVIDER: S-EPMC4661217 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature