Are preferences over health states informed?

Health and Quality of Life Outcomes
M KarimiS Paisley

Abstract

The use of preference-elicitation tasks for valuing health states is well established, but little is known about whether these preferences are informed. Preferences may not be informed because individuals with little experience of ill health are asked to value health states. The use of uninformed preferences in cost-effectiveness can result in sub-optimal resource allocation. The aim of this study was to pilot a novel method to assess whether members of the public are informed about health states they value in preference-elicitation tasks. The general public was said to be informed if the expectations of the public about the effect of ill health on people's lives were in agreement with the experience of patients. Sixty-two members of the public provided their expectations of the consequences of ill health on five life domains (activities, enjoyment, independence, relationships, and avoiding being a burden). A secondary dataset was used to measure patient experience on those five consequences. There were differences between the expectations of the public and the experience of patients. For example, for all five life consequences the public underestimated the effects of problems in usual activities compared to problems in mobilit...Continue Reading

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Citations

Aug 16, 2018·Journal of Advanced Nursing·Timothy DisherMarsha Campbell-Yeo
Aug 3, 2018·Health and Quality of Life Outcomes·Manuel HuberReiner Leidl
Dec 24, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Fabia Gansen, Julian Klinger
Oct 1, 2020·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Barry Dewitt, George W Torrance
Aug 30, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Barry DewittJanel Hanmer
Mar 19, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·David J MottOliver Rivero-Arias
Jun 6, 2021·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Nathan S McClureJeffrey A Johnson

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