The gap effect: discontinuities of preferences around dead.

Abstract:

BACKGROUND:The assessment of health states considered to be worse than dead is a controversial issue. OBJECTIVE:To investigate how health states are valued when they are close to dead. Differences between adjacent states are compared with the differences between the first positive/first negative state with death. METHODS:A secondary analysis of the EuroQol EQ-5D data of the measurement of valuation and health (MVH) study was made. Visual analog scale (VAS) and time trade-off (TTO) preferences for 43 health states were obtained. Various subsets of 13 states were valued by 3395 respondents. States were rank ordered by their VAS and TTO values. Differences between adjacent states were calculated for the VAS and the positive and negative TTO values. RESULTS:Complete data were obtained in 2997 respondents. The differences between the ordered VAS values were equally large. In contrast, significant gaps around dead were found for the positive as well as the negative TTO values. DISCUSSION:These results are interpreted in light of a descriptive QALY model. This model was expanded to include utilities worse than dead. The VAS task does not pick up that bad states become intolerable, i.e. worse than dead, when they last too long, but the TTO task does. The current QALY model seems to lack descriptive validity for states valued worse than dead and for states with a maimal endurable time.

journal_name

Health Econ

journal_title

Health economics

authors

Stalmeier PF,Busschbach JJ,Lamers LM,Krabbe PF

doi

10.1002/hec.986

keywords:

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

679-85

issue

7

eissn

1057-9230

issn

1099-1050

journal_volume

14

pub_type

杂志文章
  • Measuring the displacement and replacement of government health expenditure.

    abstract::Research assessing the relationship between government health expenditure and development assistance for health channeled to governments (DAHG) has not considered that this relationship may depend on whether DAHG is increasing or decreasing. We explore this issue using general method of moments estimation and a panel ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3016

    authors: Dieleman JL,Hanlon M

    更新日期:2014-02-01 00:00:00

  • The effect of waiting times on demand and supply for elective surgery: Evidence from Italy.

    abstract::Waiting times are a major policy concern in publicly funded health systems across OECD countries. Economists have argued that, in the presence of excess demand, waiting times act as nonmonetary prices to bring demand for and supply of health care in equilibrium. Using administrative data disaggregated by region and su...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3545

    authors: Riganti A,Siciliani L,Fiorio CV

    更新日期:2017-09-01 00:00:00

  • Heterogeneous Effects of a Nonlinear Price Schedule for Outpatient Care.

    abstract::Nonlinear price schedules generally have heterogeneous effects on health-care demand. We develop and apply a finite mixture bivariate probit model to analyze whether there are heterogeneous reactions to the introduction of a nonlinear price schedule in the German statutory health insurance system. In administrative in...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3395

    authors: Farbmacher H,Ihle P,Schubert I,Winter J,Wuppermann A

    更新日期:2017-10-01 00:00:00

  • The effects of insurance mandates on choices and outcomes in infertility treatment markets.

    abstract::For the 10% to 15% of American married couples who experience reproductive problems, in vitro fertilization (IVF) is the leading technologically advanced treatment procedure. However, IVF's expense may prevent many couples from receiving treatment, and those who are treated may take an overly aggressive approach to re...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1776

    authors: Hamilton BH,McManus B

    更新日期:2012-08-01 00:00:00

  • Economic evaluation of communicable disease interventions in developing countries: a critical review of the published literature.

    abstract::Limited health care budgets have emphasized the need for providers to use resources efficiently. Accordingly, there has been a rapid increase in the number of economic evaluations of communicable disease health programmes in developing countries, as there is a need to implement evidence-based policy decisions. However...

    journal_title:Health economics

    pub_type: 杂志文章,评审

    doi:10.1002/1099-1050(200012)9:8<681::aid-hec545>3.0.c

    authors: Walker D,Fox-Rushby JA

    更新日期:2000-12-01 00:00:00

  • It'll only hurt a second? Microeconomic determinants of who gets flu shots.

    abstract::Appreciating how the propensity to be immunized against the flu depends on individual characteristics and environments is essential for policies regarding influenza control to be formulated sensibly. To this point, the literature has offered little documentation on the determinants of influenza immunization. Beyond ep...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(199902)8:1<9::aid-hec396>3

    authors: Mullahy J

    更新日期:1999-02-01 00:00:00

  • QALYs and ageism: philosophical theories and age weighting.

    abstract::QALY maximization is sometimes criticized for being 'ageist', because, other things being equal, the elderly, with a shorter life expectancy, will be given lower priority. On the other hand, there are philosophical arguments that, for different reasons, advocate rationing health care to the elderly, even when the size...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(200001)9:1<57::aid-hec484>

    authors: Tsuchiya A

    更新日期:2000-01-01 00:00:00

  • The intergenerational effects of socioeconomic inequality on unhealthy bodyweight.

    abstract::We study the effects of inherited socioeconomic characteristics on markers of unhealthy bodyweight. Taking Australian microdata from 2007 to 2013, we show that approximately 4% of the variation in outcomes is determined by factors beyond an individual's control, such as their race, gender, and social class. Paternal s...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4216

    authors: Balasooriya NN,Bandara JS,Rohde N

    更新日期:2021-01-13 00:00:00

  • Adjusting life for quality or disability: stylistic difference or substantial dispute?

    abstract::This paper focuses on the contrast between describing the benefit of a healthcare intervention as gain in health (QALY-type ideas) or a disability reduction (DALY-type ideas). The background is an apparent convergence in practice of the work conducted under both traditions. In the light of these methodological develop...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1424

    authors: Airoldi M,Morton A

    更新日期:2009-11-01 00:00:00

  • European health policy challenges.

    abstract::Few countries are immune to the international health care 'virus' of reform, with many countries regularly re-cycling changes that shift costs and benefits in ways that are arbitrary, inefficient and offer short term political palliation. Much of this activity has little evidence base and reveals lack of clarity in de...

    journal_title:Health economics

    pub_type: 杂志文章,评审

    doi:10.1002/hec.1048

    authors: Maynard A

    更新日期:2005-09-01 00:00:00

  • Welfare consequences of access to health insurance for rural households: Evidence from the New Cooperative Medical Scheme in China.

    abstract::This study evaluates the welfare benefits of the New Cooperative Medical Scheme (NCMS), the main public health insurance plan for the rural population in China. The findings show that the value of the NCMS to recipients is slightly lower than the government's costs of implementation, ranging from 0.79 to 0.97 per RMB ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3985

    authors: Sun JY

    更新日期:2020-03-01 00:00:00

  • The relationship between road traffic accidents and real economic activity in Spain: common cycles and health issues.

    abstract::This paper analyses the aggregate relationships between traffic accidents and real economic activity in Spain during the last 30 years. Our general approach is based on two basic assumptions: (1) the number of accidents depends on the use of cars and other exogenous variables, and (2) the level of economic activity af...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1186

    authors: García-Ferrer A,De Juan A,Poncela P

    更新日期:2007-06-01 00:00:00

  • Lowering the 'floor' of the SF-6D scoring algorithm using a lottery equivalent method.

    abstract::This paper presents a new scoring algorithm for the SF-6D, one of the most popular preference-based health status measures. Previous SF-6D value sets have a minimum (a floor), which is substantially higher than the lowest value generated by the EQ-5D model. Our algorithm expands the range of SF-6D utility scores in su...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1792

    authors: Abellán Perpiñán JM,Sánchez Martínez FI,Martínez Pérez JE,Méndez I

    更新日期:2012-11-01 00:00:00

  • The usefulness of average cost-effective ratios.

    abstract::We demonstrate that average cost-effectiveness ratios (CERs) play an important role in the evaluation of the cost-effectiveness of treatments. Criticisms of the usefulness of CERs derive mostly from the context of resource allocation under a constrained budget in which some decisions are based on incremental CERs. How...

    journal_title:Health economics

    pub_type: 评论,杂志文章

    doi:10.1002/(sici)1099-1050(199709)6:5<497::aid-hec298

    authors: Laska EM,Meisner M,Siegel C

    更新日期:1997-09-01 00:00:00

  • Tobacco control and household tobacco consumption: A tale of two educational groups.

    abstract::Since the ratification of the World Health Organization Framework Convention on Tobacco Control in 2004, Pakistan has made modest but continued progress in implementing various tobacco control measures. By 2014, substantial progress was achieved in areas of monitoring, mass media antitobacco campaigns, and advertising...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4122

    authors: Datta BK,Husain MJ,Fazlul I

    更新日期:2020-10-01 00:00:00

  • Colorectal cancer screening: efficiency and effectiveness.

    abstract::The cost-effectiveness of a series of mutually exclusive colorectal cancer screening programmes with varying screening interval and target group are analysed. Costs and effects for 60 possible screening programmes are simulated on the basis of data collected from a randomized trial initiated in 1985 in Funen County, D...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(199802)7:1<9::aid-hec304>3

    authors: Gyrd-Hansen D,Søgaard J,Kronborg O

    更新日期:1998-02-01 00:00:00

  • The marginal benefits of healthcare spending in the Netherlands: Estimating cost-effectiveness thresholds using a translog production function.

    abstract::New technologies may displace existing, higher-value care under a fixed budget. Countries aim to curtail adoption of low-value technologies, for example, by installing cost-effectiveness thresholds. Our objective is to estimate the opportunity cost of hospital care to identify a threshold value for the Netherlands. To...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3946

    authors: Stadhouders N,Koolman X,van Dijk C,Jeurissen P,Adang E

    更新日期:2019-11-01 00:00:00

  • Future projection of the health and functional status of older people in Japan: A multistate transition microsimulation model with repeated cross-sectional data.

    abstract::Accurate future projections of population health are imperative to plan for the future healthcare needs of a rapidly aging population. Multistate-transition microsimulation models, such as the U.S. Future Elderly Model, address this need but require high-quality panel data for calibration. We develop an alternative me...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3986

    authors: Kasajima M,Hashimoto H,Suen SC,Chen B,Jalal H,Eggleston K,Bhattacharya J

    更新日期:2020-07-14 00:00:00

  • Elasticities of market shares and social health insurance choice in Germany: a dynamic panel data approach.

    abstract::In 1996, free choice of health insurers was introduced to the German social health insurance system. One objective was to increase efficiency through competition. A crucial precondition for effective competition among health insurers is that consumers search for lower-priced health insurers. We test this hypothesis by...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1167

    authors: Tamm M,Tauchmann H,Wasem J,Gress S

    更新日期:2007-03-01 00:00:00

  • Expansion in markets with decreasing demand-for-profits in the German hospital industry.

    abstract::Over the last 20 years, acute-care hospitals in most OECD countries have built up costly overcapacities. From the perspective of economic policy, it is desirable to know how hospitals of different ownership forms respond to changes in demand and are probably best suited to deal with existing overcapacities. This artic...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1624

    authors: Schwierz C

    更新日期:2011-06-01 00:00:00

  • Family income and child cognitive and behavioural development in the United Kingdom: does money matter?

    abstract::This study investigates the extent to which family income is associated with an extensive range of child cognitive and behavioural outcomes in a cohort of almost 19 000 British children born between 2000 and 2001. Merging the economists' and developmental psychologists' approaches, it also attempts to identify the mai...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1665

    authors: Violato M,Petrou S,Gray R,Redshaw M

    更新日期:2011-10-01 00:00:00

  • The role of time preferences in the intergenerational transfer of smoking.

    abstract::Evidence suggests that maternal and offspring smoking behaviour is correlated. Little is known about the mechanisms through which this intergenerational transfer occurs. This paper explores the role of time preferences. Although time preference is likely to be heritable and correlated with health investments, its role...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2987

    authors: Brown H,van der Pol M

    更新日期:2014-12-01 00:00:00

  • Inferring capitation rates from aggregate health plans' costs.

    abstract::Setting risk-adjusted capitation rates in health systems with centralized financing and decentralized delivery is one of the most intriguing policy issues. The common practice to set capitation group rates is based on individual data collected from either population surveys or medical records, using a single-and in mo...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(199909)8:6<547::aid-hec463

    authors: Shmueli A

    更新日期:1999-09-01 00:00:00

  • Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the Cameroon.

    abstract::We assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, we find tha...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1643

    authors: Arcand JL,Wouabe ED

    更新日期:2010-09-01 00:00:00

  • The wage effects of obesity: a longitudinal study.

    abstract::We use National Longitudinal Survey of Youth (NLSY) data to examine the effects of obesity on wages by gender. Sample means indicate that both men and women experience a persistent obesity wage penalty over the first two decades of their careers. We then control for a standard set of socioeconomic and familial variabl...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.881

    authors: Baum CL 2nd,Ford WF

    更新日期:2004-09-01 00:00:00

  • Estimating Lifetime Costs of Social Care: A Bayesian Approach Using Linked Administrative Datasets from Three Geographical Areas.

    abstract::We estimated lifetime costs of publicly funded social care, covering services such as residential and nursing care homes, domiciliary care and meals. Like previous studies, we constructed microsimulation models. However, our transition probabilities were estimated from longitudinal, linked administrative health and so...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3110

    authors: Steventon A,Roberts A

    更新日期:2015-12-01 00:00:00

  • Characterising Uncertainty in the Assessment of Medical Devices and Determining Future Research Needs.

    abstract::Decisions about the adoption of medical interventions are informed by evidence on their costs and effects. For a range of reasons, evidence relating to medical devices may be limited. The decision to adopt a device early in its life cycle when the evidence base is least mature may impact on the prospects of acquiring ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3467

    authors: Rothery C,Claxton K,Palmer S,Epstein D,Tarricone R,Sculpher M

    更新日期:2017-02-01 00:00:00

  • Presenting results of probabilistic sensitivity analysis: the incremental benefit curve.

    abstract::Cost-effectiveness acceptability curves have become a common way of presenting the results of probabilistic sensitivity analysis. However, these curves do not provide information on what the loss of welfare or net benefit (NB) is for cases where a given intervention is not the optimal one. We describe an alternate app...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1274

    authors: Bala MV,Zarkin GA,Mauskopf J

    更新日期:2008-03-01 00:00:00

  • Are increases in cigarette taxation regressive?

    abstract::Using the latest published data from Tobacco Advisory Council surveys, this paper re-evaluates the question of whether or not increases in cigarette taxation are regressive in the United Kingdom. The extended data set shows no evidence of increasing price-elasticity by social class as found in a major previous study. ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730010406

    authors: Borren P,Sutton M

    更新日期:1992-12-01 00:00:00

  • Cost savings in mass population screening for colorectal cancer resulting from the early detection and excision of adenomas.

    abstract::The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening ...

    journal_title:Health economics

    pub_type: 临床试验,杂志文章

    doi:10.1002/hec.4730010108

    authors: Whynes DK,Walker AR,Hardcastle JD

    更新日期:1992-04-01 00:00:00