Valuing outcomes in health care: A comparison of willingness to pay and quality-adjusted life-years

被引:71
作者
Bala, MV
Wood, LL
Zarkin, GA
Norton, EC
Gafni, A
O'Brien, B
机构
[1] Res Triangle Inst, Res Triangle Pk, NC 27709 USA
[2] Univ N Carolina, Sch Publ Hlth, Dept Hlth Policy & Adm, Chapel Hill, NC USA
[3] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
关键词
WTP; QALYs; health outcomes; valuation;
D O I
10.1016/S0895-4356(98)00036-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Quality-adjusted life-years (QALYs) and willingness to pay (WTP) are two preference-based measures ui health-related outcomes. In this article, we compare these two measures in eliciting individuals' preferences for health outcomes associated with shingles. To collect the necessary preference data, we administered computer-interactive interviews to a sample of 65- to 70-year-olds. We found no significant correlation between QALYs and WTP across individuals. We discuss our findings and argue that our results raise questions about whether QALYs and WTP are equivalent preference-based measures of health outcomes. (C) 1998 Elsevier Science Inc.
引用
收藏
页码:667 / 676
页数:10
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