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The willingness to pay for a quality adjusted life year : a review of the empirical literature

Ryen, Linda, 1974- (author)
Karlstads universitet,Handelshögskolan (from 2013)
Svensson, Mikael, 1980- (author)
Karlstads universitet,Örebro universitet,Handelshögskolan vid Örebro Universitet,Department of Economics, Karlstad University, Karlstad, Sweden,Handelshögskolan (from 2013),Örebro University
 (creator_code:org_t)
2014-07-28
2015
English.
In: Health Economics. - : Wiley-Interscience Publishers. - 1057-9230 .- 1099-1050. ; 24:10, s. 1289-1301
  • Research review (peer-reviewed)
Abstract Subject headings
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  • There has been a rapid increase in the use of cost-effectiveness analysis, with quality adjusted life years (QALYs) as an outcome measure, in evaluating both medical technologies and public health interventions. Alongside, there is a growing literature on the monetary value of a QALY based on estimates of the willingness to pay (WTP). This paper conducts a review of the literature on the WTP for a QALY. In total, 24 studies containing 383 unique estimates of the WTP for a QALY are identified. Trimmed mean and median estimates amount to 74,159 and 24,226 Euros (2010 price level), respectively. In regression analyses, the results indicate that the WTP for a QALY is significantly higher if the QALY gain comes from life extension rather than quality of life improvements. The results also show that the WTP for a QALY is dependent on the size of the QALY gain valued.

Subject headings

SAMHÄLLSVETENSKAP  -- Ekonomi och näringsliv -- Nationalekonomi (hsv//swe)
SOCIAL SCIENCES  -- Economics and Business -- Economics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Keyword

literature review; QALY; willingness to pay
Economics
Nationalekonomi
Economics

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SOCIAL SCIENCES
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MEDICAL AND HEALTH SCIENCES
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Health Economics
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Örebro University
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