Weighting Health Outcomes by Socioeconomic Position Using Stated Preferences

PharmacoEconomics Open
Anita LalRobert Carter

Abstract

The trade-off that society is willing to make to promote a more equitable distribution of health can be represented as a social welfare function (SWF). SWFs are an economic construct that can be used to illustrate concerns for total health with aversion to inequalities between socioeconomic groups. This study used people's preferences to estimate the shapes of health-related SWFs (HRSWFs). We tested the suitability of this method to derive equity weights. A questionnaire was used to elicit preferences concerning trade-offs between the total level of health and its distribution among two socioeconomic groups. The participant group was a sample of convenience that included a mix of health researchers, academics, clinicians, managers, public servants and research students. The data collected were used to develop HRSWFs with a constant elasticity of substitution. The weight was calculated using the marginal rate of substitution. A marginal health gain to the lowest socioeconomic position (SEP) group was valued 14.1-81.4 times more than a marginal health gain to the high SEP group. Our results provide evidence to support the idea that the public may be willing to make trade-offs between efficiency and equity, and that they value hea...Continue Reading

References

Jan 1, 1989·Social Science & Medicine·M C CharnyS C Farrow
Jan 1, 1987·Annual Review of Public Health·M G MarmotM A Elston
Jan 1, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M Holmes
Mar 1, 1997·Social Science & Medicine·M MarmotN F Marks
Jul 7, 1995·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·G MooneyV Wiseman
Jul 9, 1999·Journal of Epidemiology and Community Health·L LindholmM Emmelin
Aug 30, 2002·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·David L B Schwappach
Mar 21, 2003·Journal of Epidemiology and Community Health·P Braveman, S Gruskin
Mar 17, 2004·Journal of Health Economics·Ignacio Abasolo, Aki Tsuchiya
Oct 16, 2004·Social Science & Medicine·Melissa M Farmer, Kenneth F Ferraro
Mar 3, 2005·Applied Health Economics and Health Policy·Virginia Wiseman
Feb 17, 2009·Health Economics, Policy, and Law·Richard CooksonHelen Weatherly
Apr 1, 2008·Expert Review of Pharmacoeconomics & Outcomes Research·Scott D Grosse
Apr 1, 2011·Journal of Health Politics, Policy and Law·Erika BlacksherClaire Espey
Feb 1, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Min Kyoung LimTae-Jin Lee
Apr 13, 2012·International Journal of Technology Assessment in Health Care·Mira Johri, Ole Frithjof Norheim
Apr 25, 2012·Health Economics·Richard NormanRosalie Viney
Dec 19, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Ana BobinacWerner B F Brouwer
Feb 2, 2013·International Journal of Health Services : Planning, Administration, Evaluation·Lisa C Dubay, Lydie A Lebrun

❮ Previous
Next ❯

Software Mentioned

Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.