Willingness to pay for a quality-adjusted life year: a systematic review with meta-regression

Kouakou, Christian R C; Poder, Thomas G.

doi:10.1007/s10198-021-01364-3

Cited by 25 publications

(26 citation statements)

References 132 publications

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“…Third, the mode of this survey might influence our results. According to recent publications [ 12 , 13 ], surveys conducted over the internet or telephone are more likely to have a significantly higher value for WTP/Q than face-to-face surveys. This is what we call mode bias in surveys.…”

Section: Discussionmentioning

confidence: 99%

“…We first performed univariate regression for all variables in Online Resource 2 (see ESM_2). Statistically significant variables in univariate regressions and factors mentioned in previous research were included in the multivariate regression [ 12 , 13 ]. We also conducted subgroup regression as well as sensitivity analyses for the whole sample and the improving quality of life and extending life length subgroups.…”

Section: Methodsmentioning

confidence: 99%

“…It was also found that larger QALY changes lead to lower WTP/Q estimates. Recently, Kouakou and Poder [12] and Ye et al [13] published similar reviews with meta-regression analysis on this topic, implying age, income and mode of administration (online or face-to-face interview) have significant effects on WTP/Q. All these published results raise the question of how we determine the WTP/Q that can represent the monetary value of health from the population's point of view.…”

Section: Introductionmentioning

confidence: 93%

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Willingness to Pay for One Additional Quality Adjusted Life Year: A Population Based Survey from China

Abduhilil

Huang

et al. 2022

Appl Health Econ Health Policy

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Objective The aim of this study was to estimate the population’s willingness to pay (WTP) for an additional quality-adjusted life-year (QALY) in China. Methods The WTP for an additional QALY (WTP/Q) was estimated using a contingent valuation survey with quota sampling and snowball sampling, using a pre-designed questionnaire with 18 hypothetical scenarios. The change in health state was depicted by the EQ-5D-5L. The questionnaires were completed by telephone and face-to-face interviews. Two-part regression models were used to test validity and how different factors affect WTP/Q. Results A total of 2008 people participated in this survey and provided 3265 WTP responses for further analysis. The average WTP/Q for the entire sample is 113,120 Renminbi (RMB) (USD 16,884), which is 1.75 times the gross domestic product (GDP) per capita. For the quality-of-life improvement scenarios, the mean WTP/Q is RMB 78,907 (USD 11,777, 1.22 times GDP per capita), which is significantly lower than the life extension scenarios (RMB 177,761, USD 26,531, 2.76 times GDP per capita). Age was found to be negatively related to positive WTP. Educational level was positively related to the probability of reporting positive WTP and the level of WTP/Q. Although the EQ-5D-5L utility scores of respondents did not prove to be statistically significant determinants of WTP/Q, the two dimensions of EQ-5D-5L, pain/discomfort and anxiety/depression, had an impact on WTP/Q. In addition, WTP/Q was higher when the health outcome had a 50% probability of occurring than when the health outcome was 100% certain. WTP/Q was higher when a lower health gain was presented to the respondent. Conclusion This study provides empirical evidence of the monetary value of an additional QALY from a sample of the Chinese population. In addition, a higher threshold for end-of-life therapies should be considered. Supplementary Information The online version contains supplementary material available at 10.1007/s40258-022-00750-z.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

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Willingness to Pay for One Additional Quality Adjusted Life Year: A Population Based Survey from China

Abduhilil

Huang

et al. 2022

Appl Health Econ Health Policy

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“…Ob in diesen Fällen die zusätzlichen Kosten und gesundheitlichen Effekte in einem akzeptablen Verhältnis stehen, ist eine Wertentscheidung und hängt von der Zahlungsbereitschaft des Entscheidungsträgers für eine zusätzliche Effekteinheit ab. In der internationalen Literatur wird für KNA vielfach eine Schwelle von < 50.000 US-Dollar pro gewonnen QALY oder vermiedenem DALY als akzeptabel angenommen [26].…”

Section: Methodik Der Gesundheitsökonomischen Evaluationunclassified

Gesundheitsökonomische Aspekte von Übergewicht und Adipositas: Krankheitskosten und Kosteneffektivität am Beispiel von Werberegulierungen

Lehnert

Konnopka

König

2022

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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ZusammenfassungDieser Beitrag gibt einen Überblick über die mit Übergewicht und Adipositas assoziierten Kosten in Deutschland und stellt empirische Ergebnisse zur Kosteneffektivität von Maßnahmen zur Regulierung von TV-Werbung für ungesunde Lebensmittel aus der internationalen Literatur vor. Übergewicht und Adipositas gehen mit sehr hohen Kosten für das Gesundheitssystem und die Gesellschaft einher, welche zugleich das maximale Einsparpotenzial an theoretisch vermeidbarer ökonomischer Krankheitslast darstellen. Am Beispiel der Regulierung von TV-Werbung für ungesunde Lebensmittel wird aufgezeigt, wie mit den Methoden der ökonomischen Evaluation die Kosteneffektivität von Präventionsmaßnahmen beurteilt werden kann. Eine internationale Literatursuche identifizierte sechs modellbasierte Kosteneffektivitätsanalysen, die die Wirtschaftlichkeit von Regulierungen für Zeithorizonte zwischen 10 und 100 Jahren untersuchen. Die Interventionen erwiesen sich in allen Studien und für alle untersuchten Länder/Populationen als kosteneffektiv oder kostensparend. Zukünftig sollten vermehrt Interventionsprogramme, bestehend aus aufeinander abgestimmten und simultan implementierten präventiven und therapeutischen Maßnahmen entwickelt und ökonomisch evaluiert werden.

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“…Some aspects of the link between this approach and welfare-economic theory have been clarified(Herrera-Araujo et al 2020). As previously noted for VSL, there are several meta-analyses(Kouakou & Poder 2022, Ryen & Svensson 2015b) from which it is possible to infer consistent country-specific values of a QALY.…”

mentioning

confidence: 99%

Nordic Economic Policy Review 2022: COVID-19 Effects on the Economy in the Nordics

Andersen,

Holden,

Honkapohja

et al. 2022

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The paper reviews economic developments and policy measures in the Nordic countries during the pandemic focusing in particular on the unconventional policies deployed to protect incomes, jobs, and firms in the short run. The recession was the deepest but also shortest on record, which indicates that the underlying economic policy logic of preserving production capacity and job matches to make a swift recovery possible worked. The policies also maintained domestic demand. The general structure of the Nordic societies, with a high level of trust and cooperation, a high degree of digitalization, and a comprehensive social safety net, contributed to the recovery process.

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Willingness to pay for a quality-adjusted life year: a systematic review with meta-regression

Cited by 25 publications

References 132 publications

Willingness to Pay for One Additional Quality Adjusted Life Year: A Population Based Survey from China

Willingness to Pay for One Additional Quality Adjusted Life Year: A Population Based Survey from China

Gesundheitsökonomische Aspekte von Übergewicht und Adipositas: Krankheitskosten und Kosteneffektivität am Beispiel von Werberegulierungen

Nordic Economic Policy Review 2022: COVID-19 Effects on the Economy in the Nordics

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