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    Efficiency and Equity: a Stated Preference Approach

    Access Status
    Fulltext not available
    Authors
    Norman, Richard
    Hall, J.
    Street, D.
    Viney, R.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Norman, R. and Hall, J. and Street, D. and Viney, R. 2013. Efficiency and Equity: a Stated Preference Approach. Health Economics. 22 (5): pp. 568-581.
    Source Title
    Health Economics
    DOI
    10.1002/hec.2827
    ISSN
    10991050
    URI
    http://hdl.handle.net/20.500.11937/14754
    Collection
    • Curtin Research Publications
    Abstract

    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.

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