When are person tradeoffs valid?

Doctor, Jason N.; Miyamoto, John M.; Bleichrodt, Han

doi:10.1016/j.jhealeco.2009.06.010

Cited by 11 publications

(9 citation statements)

References 26 publications

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“…However, several issues still remain as follows: the appropriateness of the health state or disease classification and valuation method, selection of survey participants to elicit preferences, validation of disability weights, and cross-cultural variability of disability weights (1112131415). In particular, the problem of using PTO or PHE was questioned in terms of the lack of theoretical basis (1617). …”

Section: Introductionmentioning

confidence: 99%

Disability Weights Measurement for 228 Causes of Disease in the Korean Burden of Disease Study 2012

Ock

Lee

et al. 2016

J Korean Med Sci

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Disability weight for each disease plays a key role in combining years lived with disability and years of life lost in disability adjusted life year. For the Korean Burden of Disease 2012 study, we have conducted a re-estimation of disability weights for causes of disease by adapting the methodology of a recent Global Burden of Disease study. Our study was conducted through a self-administered web-based survey using a paired comparison (PC) as the main valuation method. A total of 496 physicians and medical college students who were attending in third or fourth grade of a regular course conducted the survey. We applied a probit regression on the PC data and computed the predicted probabilities of each cause of disease from the coefficient estimates of the probit regression. We used 'being dead (1)' and 'full health (0)' as anchor points to rescale the predicted probability of each cause of disease on a scale of 0 to 1. By this method, disability weights for a total of 228 causes of disease were estimated. There was a fairly high correlation between the disability weights of overlapping causes of disease from this study and a previous South Korean study despite the differences in valuation methods and time periods. In conclusion, we have shown that disability weights can be estimated based on a PC by including 'full health' and 'being dead' as anchor points without resorting to a person trade-off. Through developments in the methodology of disability weights estimation from this study, disability weights can be easily estimated and continuously revised.

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Section: Introductionmentioning

confidence: 99%

Disability Weights Measurement for 228 Causes of Disease in the Korean Burden of Disease Study 2012

Ock

Lee

et al. 2016

J Korean Med Sci

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“…The authorities have allocated large amounts of resources to increase the health infrastructure and the implementation of policies for prevention and care to achieve full health coverage for the entire population . The main goal objective of these policies is to improve the health of the population, which is equivalent, in measurable results, to an increase in life expectancy and quality of life …”

Section: Introductionmentioning

confidence: 99%

Analysis and determination the efficiency of the European health systems

Moreno‐Enguix

Gómez‐Gallego

Gallego

2017

Health Planning & Management

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The current economic crisis has increased the interest in analyzing the efficiency of health care systems, as their funding is a very important part of the budgets for different countries. In this work determines the efficiency in the health services in European countries applying data envelopment analysis. In addition, the combined application of data envelopment analysis methods and ACP can provide an evaluation of the efficiency with respect to differently oriented productive health systems in the different countries. The results show that models with a lower level of efficiency are those whose input is beds, followed by the models whose input is physicians. Finally, we apply the AD to select a few simple indicators that facilitate control of the level of operational efficiency of a health system.

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“…12 We have shown that a framework in which information on individual preferences over health is not available (either for practical or ethical reasons) still allows to make sound decisions over the evaluation of population health. 13 Somewhat related, even though we assume (as customary) that individual health is determined by two dimensions (quality and quantity) we do not presume that individuals evaluate them in a specific given way. In other words, as opposed to earlier axiomatic contributions on the evaluation of health profiles, we do not assume that the health of an individual is summarized by a number (to be interpreted as the number of QALYs, life years, or "health utility" experienced by a person), but by a duplet referring to the two dimensions.…”

Section: Discussionmentioning

confidence: 99%

“…13 An alternative, albeit related, framework has been recently proposed by Fleurbaey and Shokkaert (2009), who include a concern for respecting individual preferences by means of a Pareto principle. Such Pareto principle implies that society is indifferent between a status quo and an hypothetical situation in which "healthy equivalent consumptions" are considered.…”

Section: Discussionmentioning

confidence: 99%

A New Axiomatic Approach to the Evaluation of Population Health

2011

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We explore in this paper the implications of ethical and operational principles for the evaluation of population health. We formalize those principles as axioms for social preferences over distributions of health for a given population. We single out several focal population health evaluation functions, which represent social preferences, as a result of combinations of those axioms. Our results provide rationale for popular theories in health economics (such as the unweighted aggregation of QALYs or HYEs, and generalizations of the two, aimed to capture concerns for distributive justice) without resorting to controversial assumptions over individual preferences. AbstractWe explore in this paper the implications of ethical and operational principles for the evaluation of population health. We formalize those principles as axioms for social preferences over distributions of health for a given population. We single out several focal population health evaluation functions, which represent social preferences, as a result of combinations of those axioms. Our results provide rationale for popular theories in health economics (such as the unweighted aggregation of QALYs or HYEs, and generalizations of the two, aimed to capture concerns for distributive justice) without resorting to controversial assumptions over individual preferences.

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When are person tradeoffs valid?

Cited by 11 publications

References 26 publications

Disability Weights Measurement for 228 Causes of Disease in the Korean Burden of Disease Study 2012

Disability Weights Measurement for 228 Causes of Disease in the Korean Burden of Disease Study 2012

Analysis and determination the efficiency of the European health systems

A New Axiomatic Approach to the Evaluation of Population Health

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