Life-cycle preferences over consumption and health: when is cost-effectiveness analysis equivalent to cost-benefit analysis?

Abstract:

:This paper studies life-cycle preferences over consumption and health status. We show that cost-effectiveness analysis is consistent with cost-benefit analysis if the lifetime utility function is additive over time, multiplicative in the utility of consumption and the utility of health status, and if the utility of consumption is constant over time. We derive the conditions under which the lifetime utility function takes this form, both under expected utility theory and under rank-dependent utility theory, which is currently the most important nonexpected utility theory. If cost-effectiveness analysis is consistent with cost-benefit analysis, it is possible to derive tractable expressions for the willingness to pay for quality-adjusted life-years (QALYs). The willingness to pay for QALYs depends on wealth, remaining life expectancy, health status, and the possibilities for intertemporal substitution of consumption.

journal_name

J Health Econ

authors

Bleichrodt H,Quiggin J

doi

10.1016/s0167-6296(99)00014-4

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

681-708

issue

6

eissn

0167-6296

issn

1879-1646

pii

S0167629699000144

journal_volume

18

pub_type

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