Efficiency and Equity: a Stated Preference Approach
Outcome measurement in the economic evaluation of health care considers outcomes independent of to whom they accrue. This article reports on a discrete choice experiment designed to elicit population preferences regarding the allocation of health gain between hypothetical groups of potential patient...
| Main Authors: | , , , |
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| Format: | Journal Article |
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John Wiley
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/14754 |
| _version_ | 1848748707761094656 |
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| author | Norman, Richard Hall, J. Street, D. Viney, R. |
| author_facet | Norman, Richard Hall, J. Street, D. Viney, R. |
| author_sort | Norman, Richard |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Outcome measurement in the economic evaluation of health care considers outcomes independent of to whom they accrue. This article reports on a discrete choice experiment designed to elicit population preferences regarding the allocation of health gain between hypothetical groups of potential patients. A random-effects probit model is estimated, and a technique for converting these results into equity weights for use in economic evaluation is adopted. On average, the modelling predicts a relatively high social value on health gains accruing to nonsmokers, carers, those with a low income and those with an expected age of death less than 45 years. Respondents tend to favour individuals with similar characteristics to themselves. These results challenge the conventional practice of assuming constant equity weighting. For decision makers, whether a formal equity weighting system represents an improvement on more informal approaches to weighing up equity and efficiency concerns remains uncertain. |
| first_indexed | 2025-11-14T07:09:20Z |
| format | Journal Article |
| id | curtin-20.500.11937-14754 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:09:20Z |
| publishDate | 2013 |
| publisher | John Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-147542017-09-13T14:06:27Z Efficiency and Equity: a Stated Preference Approach Norman, Richard Hall, J. Street, D. Viney, R. random-effects probit economic evaluation equity weights discrete choice experiment Outcome measurement in the economic evaluation of health care considers outcomes independent of to whom they accrue. This article reports on a discrete choice experiment designed to elicit population preferences regarding the allocation of health gain between hypothetical groups of potential patients. A random-effects probit model is estimated, and a technique for converting these results into equity weights for use in economic evaluation is adopted. On average, the modelling predicts a relatively high social value on health gains accruing to nonsmokers, carers, those with a low income and those with an expected age of death less than 45 years. Respondents tend to favour individuals with similar characteristics to themselves. These results challenge the conventional practice of assuming constant equity weighting. For decision makers, whether a formal equity weighting system represents an improvement on more informal approaches to weighing up equity and efficiency concerns remains uncertain. 2013 Journal Article http://hdl.handle.net/20.500.11937/14754 10.1002/hec.2827 John Wiley restricted |
| spellingShingle | random-effects probit economic evaluation equity weights discrete choice experiment Norman, Richard Hall, J. Street, D. Viney, R. Efficiency and Equity: a Stated Preference Approach |
| title | Efficiency and Equity: a Stated Preference Approach |
| title_full | Efficiency and Equity: a Stated Preference Approach |
| title_fullStr | Efficiency and Equity: a Stated Preference Approach |
| title_full_unstemmed | Efficiency and Equity: a Stated Preference Approach |
| title_short | Efficiency and Equity: a Stated Preference Approach |
| title_sort | efficiency and equity: a stated preference approach |
| topic | random-effects probit economic evaluation equity weights discrete choice experiment |
| url | http://hdl.handle.net/20.500.11937/14754 |