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The QALY model and individual preferences for health states and health profiles over time: a systematic review of the literature

Tsuchiya, A. and Dolan, Paul (2005) The QALY model and individual preferences for health states and health profiles over time: a systematic review of the literature. Medical Decision Making, 25 (4). pp. 460-467. ISSN 0272-989X

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Identification Number: 10.1177/0272989X05276854

Abstract

The numbers of quality-adjusted life years (QALYs) gained are increasingly being used to represent the gains in individual utility from treatment. This requires that the value of a health improvement to an individual is a simple product of gains in quality of life and length of life. The article reports on a systematic review of the literature on 2 issues: whether the value of a state is affected by how long the state lasts, and by states that come before or after it. It was found that individual preferences over health are influenced by the duration of health states and their sequence. However, although there is much variation across individual respondents, the assumptions tend to hold much better when valuations are aggregated across respondents, which is encouraging for economic evaluations that rely on using average (mean or median) values.

Item Type: Article
Official URL: http://mdm.sagepub.com/
Additional Information: © 2005 by Society for Medical Decision Making
Divisions: Social Policy
Subjects: R Medicine > R Medicine (General)
Date Deposited: 09 Mar 2011 13:00
Last Modified: 11 Dec 2024 22:55
URI: http://eprints.lse.ac.uk/id/eprint/33104

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