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Preference-Based Measures in Economic Evaluation in Health Care

2000

Estimating preferences for states of health has been an active area of research in recent years. Unlike psychophysical approaches, which discriminate levels of health status, preference-based approaches incorporate values or utilities for health outcomes and can be used in cost-effectiveness analyses to aid resource allocation decisions.

This chapter considers issues and controversies involved in using preference-based measures in economic evaluation in health care, with a particular emphasis on cost-utility analysis and the estimation of quality-adjusted life years. Topics considered include techniques for measuring preferences, the use of preference-based classification systems, the relationship between patient and community preferences, methods for obtaining utilities from clinical trials, mapping health status from health utilities, the development of "off-the-shelf" preference weights, and proposed alternatives to quality-adjusted life years.

 

Source:

Neumann PJ, Goldie SJ, Weinstien MC. Preference-Based Measures in Economic Evaluation in Health Care. Annual Review of Public Health 2000; 21: 587-611. https://doi.org/10.1146/annurev.publhealth.21.1.587