Can we estimate the 'social' value of a QALY? Four core issues to resolve

Smith, Richard D. and Richardson, Jeff (2005) Can we estimate the 'social' value of a QALY? Four core issues to resolve. Health Policy, 74 (1). pp. 77-84. ISSN 1872-6054

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Abstract

There is growing interest in estimating the 'societal' willingness to pay (WTP) for a quality adjusted life year (QALY) to help public health system decision-makers determine whether a health care programme should/not be undertaken. However, there is a lack of clarity in this debate concerning four core issues: (i) is 'social' WTP simply the sum of 'individual' WTP; (ii) will 'individual' WTP map directly into 'social' WTP; (iii) is 'personal' income the appropriate budget constraint; (iv) should WTP be adjusted for ability to pay? This paper outlines the relevance and importance of each of these issues in the hope of encouraging a wider debate on the core issues that empirical studies will have to explore to discover whether such a value may be obtained.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:11
Last Modified: 21 Apr 2020 20:10
URI: https://ueaeprints.uea.ac.uk/id/eprint/14133
DOI: 10.1016/j.healthpol.2004.12.009

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