A proposal to solve the comparability problem in cost-utility analysis

被引:10
作者
Bleichrodt, H
Herrero, C
Pinto, JL
机构
[1] Erasmus Univ, iMTA, iBMG, NL-3000 DR Rotterdam, Netherlands
[2] Univ Alicante, E-03080 Alicante, Spain
[3] IVIE, Alicante, Spain
[4] Univ Pompeu Fabra, Barcelona, Spain
关键词
cost-utility analysis; comparability of health state utilities;
D O I
10.1016/S0167-6296(01)00136-9
中图分类号
F [经济];
学科分类号
02 ;
摘要
In cost-utility analysis it is assumed that health state valuations are directly comparable across individuals. Instead, health state valuations may be relative and related to people's expectations and abilities. Then health state valuations are not fully comparable across people and, consequently, cost utility analysis cannot be applied in full. The present paper analyzes this comparability problem and proposes a method to solve it. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:397 / 403
页数:7
相关论文
共 16 条
[1]  
Atkinson A. B., 1987, ARROW FDN THEORY EC, P350
[2]   Health utility indices and equity considerations [J].
Bleichrodt, H .
JOURNAL OF HEALTH ECONOMICS, 1997, 16 (01) :65-91
[3]   EuroQol: The current state of play [J].
Brooks, R .
HEALTH POLICY, 1996, 37 (01) :53-72
[4]   Modeling valuations for EuroQol health states [J].
Dolan, P .
MEDICAL CARE, 1997, 35 (11) :1095-1108
[5]   The measurement of individual utility and social welfare [J].
Dolan, P .
JOURNAL OF HEALTH ECONOMICS, 1998, 17 (01) :39-52
[6]   Dollars may not buy as many QALYs as we think: A problem with defining quality-of-life adjustments [J].
Fryback, DG ;
Lawrence, WF .
MEDICAL DECISION MAKING, 1997, 17 (03) :276-284
[7]  
FURLONG W, 1998, 9811 MCM U CTR HLTH
[8]   THE PROBLEM OF DISCRIMINATION IN HEALTH-CARE PRIORITY SETTING [J].
HADORN, DC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (11) :1454-1459
[9]  
Harris J, 1988, Philosophy and medical welfare, P75
[10]   Should we aggregate relative or absolute changes in QALYs? [J].
Johannesson, M .
HEALTH ECONOMICS, 2001, 10 (07) :573-577