Social tariffs and democratic choice-Do population-based health state values reflect the will of the people?

Abstract:

:In economic evaluations of health technologies, health outcomes are commonly measured in terms of quality-adjusted life years (QALYs). QALYs are the product of time and health-related quality of life. Health-related quality of life, in turn, is determined by a social tariff, which is supposed to reflect the public's preference over health states. This study argues that, because of the tariff's role in the societal decision-making process, it should not be understood as merely an operational (statistical) definition of health, but as a major instrument of democratic participation. I outline what implications this might have for both the method used to aggregate individual preferences, and the set of individuals whose preferences should count. Alternative tariff specifications and decision rules are explored, and future research directions are proposed.

journal_name

Health Econ

journal_title

Health economics

authors

Schneider PP

doi

10.1002/hec.4179

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

104-112

issue

1

eissn

1057-9230

issn

1099-1050

journal_volume

30

pub_type

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