Deriving distributional weights for QALYs through discrete choice experiments.

Abstract:

:This paper presents the first attempt to use a discrete choice experiment to derive distributional weights for quality adjusted life years (QALYs), based on characteristics (age and severity) of the beneficiaries. A novel approach using the Hicksian compensating variation is applied. Advantages include derivation of weights for QALYs, not just for life or life years saved, and investigation of the impact of the size of the health gain by allowing the gain to be traded against other characteristics. Results suggest one would generally not weight QALYs, except in a small number of specific cases and in those cases the weights are relatively small. Methodological challenges are highlighted as is a future research agenda.

journal_name

J Health Econ

authors

Lancsar E,Wildman J,Donaldson C,Ryan M,Baker R

doi

10.1016/j.jhealeco.2011.01.003

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

466-78

issue

2

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(11)00009-9

journal_volume

30

pub_type

杂志文章
  • The impact of legalized abortion on child health outcomes and abandonment. Evidence from Romania.

    abstract::We use household survey data and a unique census of institutionalized children to analyze the impact of abortion legalization in Romania. We exploit the lift of the abortion ban in December 1989, when communist dictator Ceausescu and his regime were removed from power, to understand its impact on children's health at ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.08.004

    authors: Mitrut A,Wolff FC

    更新日期:2011-12-01 00:00:00

  • The demand for episodes of mental health services.

    abstract::Observational studies of demand for mental health services showed much greater use by those with more generous insurance, but this difference may have been due to adverse selection, rather than in response to price. This paper avoids the adverse selection problem by using data from a randomized trial, the RAND Health ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(88)90021-5

    authors: Keeler EB,Manning WG,Wells KB

    更新日期:1988-12-01 00:00:00

  • The health effects of leaving school in a bad economy.

    abstract::This study investigates the lasting health effects of leaving school in a bad economy. Three empirical patterns motivate this study: Leaving school in a bad economy has persistent and negative career effects, career and health outcomes are correlated, and fluctuations in contemporaneous economic conditions affect heal...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.07.003

    authors: Maclean JC

    更新日期:2013-09-01 00:00:00

  • A social choice approach to expert consensus panels.

    abstract::This study uses recent theoretical work about group decision-making to assess the quality of decision-making by expert consensus panels. We specifically examine (1) when individual members of panels will divulge their private judgments about the decision to the panel, and (2) when the group judgment is superior to the...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2003.10.004

    authors: Gabel MJ,Shipan CR

    更新日期:2004-05-01 00:00:00

  • Rising inequalities in income and health in China: who is left behind?

    abstract::In recent decades, China has experienced double-digit economic growth rates and rising inequality. This paper implements a new decomposition approach using the China Health and Nutrition Survey (1991-2006) to examine the extent to which changes in level and distribution of incomes and in income mobility are related to...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.10.002

    authors: Baeten S,Van Ourti T,van Doorslaer E

    更新日期:2013-12-01 00:00:00

  • Price and welfare effects of a pharmaceutical substitution reform.

    abstract::The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.08.003

    authors: Granlund D

    更新日期:2010-12-01 00:00:00

  • Firm-sponsored general education and mobility frictions: evidence from hospital sponsorship of nursing schools and faculty.

    abstract::This study asks why hospitals provide direct financial support to nursing schools and faculty. This support is striking because nursing education is clearly general, clearly paid by the firm, and information asymmetries appear minimal. Using AHA and survey data, I find hospitals employing a greater share of their MSA'...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2012.09.002

    authors: Benson A

    更新日期:2013-01-01 00:00:00

  • The effects of beer taxes on physical child abuse.

    abstract::The purpose of this paper is to examine the effects of alcohol regulation on physical child abuse. Given the positive relationship between alcohol consumption and violence, and the negative relationship between consumption and price, the principal hypothesis to be tested is that an increase in the price of alcohol wil...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(99)00025-9

    authors: Markowitz S,Grossman M

    更新日期:2000-03-01 00:00:00

  • Monopsony power and relative wages in the labor market for nurses.

    abstract::This paper examines the thesis that monopsony power is an important determinant of wages in nursing labor markets. Using data from the 1985-93 Current Population Surveys, measures of relative nurse/non-nurse wage rates for 252 labor markets are constructed. Contrary to predictions from the monopsony model, no positive...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(95)00013-8

    authors: Hirsch BT,Schumacher EJ

    更新日期:1995-10-01 00:00:00

  • The causal effect of income on health: evidence from German reunification.

    abstract::We investigate whether there was a causal effect of income changes on the health satisfaction of East and West Germans in the years following reunification. Our data source is the German Socio-Economic Panel (GSOEP) between 1984 and 2002, and we fit a recently proposed fixed-effects ordinal estimator to our health mea...

    journal_title:Journal of health economics

    pub_type: 杂志文章,评审

    doi:10.1016/j.jhealeco.2005.01.004

    authors: Frijters P,Haisken-DeNew JP,Shields MA

    更新日期:2005-09-01 00:00:00

  • Intergenerational transmission of human capital: Is it a one-way street?

    abstract::Studies on the intergenerational transmission of human capital usually assume a one-way spillover from parents to children. However, children may also affect their parents' human capital. Using exogenous variation in education, arising from a Swedish compulsory schooling reform in the 1950s and 1960s, we address this ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.12.001

    authors: Lundborg P,Majlesi K

    更新日期:2018-01-01 00:00:00

  • The economics of patient-centered care.

    abstract::The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures meaningful variation in implementation. This heter...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.02.012

    authors: David G,Saynisch PA,Smith-McLallen A

    更新日期:2018-05-01 00:00:00

  • Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India.

    abstract::This paper tests the effectiveness of performance pay and bonuses among government childcare workers in India. In a controlled study of 160 ICDS centers serving over 4000 children, we randomly assign workers to either fixed bonuses or payments based on the nutritional status of children in their care, and also collect...

    journal_title:Journal of health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jhealeco.2017.07.005

    authors: Singh P,Masters WA

    更新日期:2017-09-01 00:00:00

  • The spillover effects of Medicare managed care: Medicare Advantage and hospital utilization.

    abstract::More than a quarter of Medicare beneficiaries are enrolled in Medicare Advantage, which was created in large part to improve the efficiency of health care delivery by promoting competition among private managed care plans. This paper explores the spillover effects of the Medicare Advantage program on the traditional M...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.09.005

    authors: Baicker K,Chernew ME,Robbins JA

    更新日期:2013-12-01 00:00:00

  • The diffusion of innovations in hospitals. Some econometric considerations.

    abstract::Empirical studies of the diffusion of innovations have not addressed adequately econometric problems that are characteristic of such analyses. Reanalysis of data for five innovations using an estimator with desirable statistical properties results in a considerably revised estimate of the impact of prospective reimbur...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(85)90014-1

    authors: Lee RH,Waldman DM

    更新日期:1985-12-01 00:00:00

  • The fatality and morbidity components of the value of statistical life.

    abstract::The fatality risk-money tradeoff that is the value of a statistical life (VSL) may vary with the nature of the fatality event. While all fatalities involve loss of future life expectancy, the morbidity effects and their duration may differ. This article analyzes fatality risks accompanied by morbidity effects of diffe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2016.01.011

    authors: Gentry EP,Viscusi WK

    更新日期:2016-03-01 00:00:00

  • Where would you go for your next hospitalization?

    abstract::We examine the effects of diverse dimensions of hospital quality - including consumers' perceptions of unobserved attributes - on future hospital choice. We utilize consumers' stated preference weights to obtain hospital-specific estimates of perceptions about unmeasured attributes such as reputation. We report three ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2011.05.006

    authors: Jung K,Feldman R,Scanlon D

    更新日期:2011-07-01 00:00:00

  • The lifetime costs and benefits of medical technology.

    abstract::Measuring the lifetime costs and benefits of medical technologies is essential in evaluating technological change and determining the productivity of medical care. Using data on Medicare beneficiaries with a heart attack in the late 1980s and 17 years of follow up data, I evaluate the long-term costs and benefits of r...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2007.09.003

    authors: Cutler DM

    更新日期:2007-12-01 00:00:00

  • Are novel drugs more risky for patients than less novel drugs?

    abstract::The Food and Drug Administration has accelerated the approval of therapeutically novel drugs so that patients have faster access to innovative drug therapies. Little research, however, has examined the variation in risks among therapeutically novel and less novel drugs. Do drugs that represent greater novelty also ent...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2004.03.007

    authors: Olson MK

    更新日期:2004-11-01 00:00:00

  • Early initiation of highly active antiretroviral therapies for AIDS: dynamic choice with endogenous and exogenous learning.

    abstract::Criteria for initiation of highly active antiretroviral treatments (HAART) in HIV-infected patients remain a matter of debate world-wide because short-term benefits have to be balanced with costs of these therapies, and restrictions placed on future treatment options if resistant viral strains develop. On the other ha...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.09.006

    authors: Lasserre P,Moatti JP,Soubeyran A

    更新日期:2006-05-01 00:00:00

  • Overworked? On the relationship between workload and health worker performance.

    abstract::The shortage of health workers in many low-income countries poses a threat to the quality of health services. When the number of patients per health worker grows sufficiently high, there will be insufficient time to diagnose and treat all patients adequately. This paper tests the hypothesis that high caseload reduces ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.05.006

    authors: Maestad O,Torsvik G,Aakvik A

    更新日期:2010-09-01 00:00:00

  • Adjusting to changes in health: implications for cost-effectiveness analysis.

    abstract::This article introduces a model in which individuals incur adjustment costs associated with adaptations made following changes in their health. With adjustment costs, patients' preferences for health states depend on their initial health in such a way that improvements have lower values than corresponding deterioratio...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2003.12.004

    authors: Sharma R,Stano M,Haas M

    更新日期:2004-03-01 00:00:00

  • Does privatisation of vocational rehabilitation improve labour market opportunities? Evidence from a field experiment in Sweden.

    abstract::This paper analyses if privatisation of vocational rehabilitation can improve labour market opportunities for individuals on long-term sickness absence. We use a field experiment performed by the Public Employment Service and the Social Insurance Agency in Sweden during 2008-2010, in which over 4000 participants were ...

    journal_title:Journal of health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jhealeco.2013.12.002

    authors: Laun L,Thoursie PS

    更新日期:2014-03-01 00:00:00

  • An economic evaluation of the war on cancer.

    abstract::For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood. We quantify the value of recent gains in cancer survival, and analyze the distribution of value among various stakeholders. Between 1988 and 2000, life expe...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.02.006

    authors: Lakdawalla DN,Sun EC,Jena AB,Reyes CM,Goldman DP,Philipson TJ

    更新日期:2010-05-01 00:00:00

  • Canadian medical malpractice liability: an empirical analysis of recent trends.

    abstract::The determinants of the frequency of Canadian malpractice claims, the proportion of claims that result in payment, and the severity of these claims are examined. Inter-specialty variation in the frequency of malpractice claims is almost entirely related to the differential performance of major surgery. Various legal d...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(91)90002-5

    authors: Coyte PC,Dewees DN,Trebilcock MJ

    更新日期:1991-07-01 00:00:00

  • Decomposition of moral hazard.

    abstract::This study seeks to simulate the portion of moral hazard that is due to the income transfer contained in the coinsurance price reduction. Healthcare spending of uninsured individuals from the MEPS with a priority health condition is compared with the predicted counterfactual spending of those same individuals if they ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.12.003

    authors: Nyman JA,Koc C,Dowd BE,McCreedy E,Trenz HM

    更新日期:2018-01-01 00:00:00

  • The role of profit status under imperfect information: evidence from the treatment patterns of elderly medicare beneficiaries hospitalized for psychiatric diagnoses.

    abstract::Medicare claims for elderly admitted for psychiatric care were used to estimate the impact of hospital profit status on costs, length of stay (LOS), and rehospitalizations. No evidence was found that not-for-profits (NFPs) treated sicker patients or had fewer rehospitalizations. For-profits (FPs) actually treated poor...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(00)00068-0

    authors: Ettner SL,Hermann RC

    更新日期:2001-01-01 00:00:00

  • A flexible two-part random effects model for correlated medical costs.

    abstract::In this paper, we propose a flexible "two-part" random effects model (Olsen and Schafer, 2001; Tooze et al., 2002) for correlated medical cost data. Typically, medical cost data are right-skewed, involve a substantial proportion of zero values, and may exhibit heteroscedasticity. In many cases, such data are also obta...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2009.11.010

    authors: Liu L,Strawderman RL,Cowen ME,Shih YC

    更新日期:2010-01-01 00:00:00

  • Standard errors for the retransformation problem with heteroscedasticity.

    abstract::Economists often estimate models with a log-transformed dependent variable. The results from the log-transformed model are often retransformed back to the unlogged scale. Other studies have shown how to obtain consistent estimates on the original scale but have not provided variance equations for those estimates. In t...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(00)00046-1

    authors: Ai C,Norton EC

    更新日期:2000-09-01 00:00:00

  • The internal consistency of the standard gamble: tests after adjusting for prospect theory.

    abstract::This article reports a study that tests whether the internal consistency of the standard gamble can be improved upon by incorporating loss weighting and probability transformation parameters in the standard gamble valuation procedure. Five alternatives to the standard EU formulation are considered: (1) probability tra...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/S0167-6296(03)00023-7

    authors: Oliver A

    更新日期:2003-07-01 00:00:00