Eliciting Preferences for Resource Allocation in Health Care*
نویسنده
چکیده
Willingness-to-pay (WTP) studies are increasingly being used in the evaluation of health care programmes and, although less frequently, for priority setting in health care. The usefulness of willingness-to-pay as a discriminatory tool for priority setting is considered in this paper for three different health care programmes in Ireland: cancer, cardiovascular and community care. While the resulting estimates are consistent with respondents’ rankings of the programmes, there is no statistical difference among the three programmes in terms of WTP. In considering marginal changes to existing health care programmes people consider their rankings of the programmes and the existing capacity of each programme. People are also more concerned with the gains to themselves of expanding various health care programmes than with wider issues of access or fairness.
منابع مشابه
An inquiry into the different perspectives that can be used when eliciting preferences in health.
There are a number of perspectives that an individual could be asked to adopt in studies designed to elicit preferences for use in informing resource allocation decisions in health care. This paper develops a conceptual framework that clearly distinguishes between six different perspectives. It is argued that the appropriate perspective to use depends on normative considerations and the particu...
متن کاملEliciting health care priorities in developing countries: experimental evidence from Guatemala.
Although some methods for eliciting preferences to assist participatory priority setting in health care in developed countries are available, the same is not true for poor communities in developing countries whose preferences are neglected in health policy making. Existing methods grounded on self-interested, monetary valuations that may be inappropriate for developing country settings where co...
متن کاملMorality and the limits of societal values in health care allocation.
In this paper, we consider whether there is a clear moral justification for the proposal that societal value preferences (SVPs) should be included in Cost Effectiveness Analyses (CEA) of health care resource allocations. We argue, first, that proponents of the use of SVPs need to be clear about the relationship between these values and moral principles. In particular, once moral principles are ...
متن کاملLong-term Care Financing: Inserting Politics and Resource Allocation in the Debate; Comment on “Financing Long-term Care: Lessons From Japan”
The ageing of the countries’ populations, and in particular the growing number of the very old, is increasing the need for long-term care (LTC). Not surprisingly, therefore, the financing of LTC systems has become a crucial topic across the Organisation for Economic Co-operation and Development (OECD). In the last three decades, various financing policies have been carr...
متن کاملAxioms for health care resource allocation.
This paper examines principles of health care resource allocation based on axioms for individual preferences and distributive justice. We establish axioms for representing individual preferences by quality-adjusted life years (QALYs), as well as axioms for existence of a social welfare function depending only on QALYs. A symmetric Cobb-Douglas social welfare function is characterized by an axio...
متن کامل