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Public preferences for responsibility versus public preferences for reducing inequalities

Edlin, Richard and Tsuchiya, Aki and Dolan, Paul (2012) Public preferences for responsibility versus public preferences for reducing inequalities. Health Economics, 21 (12). pp. 1416-1426. ISSN 1057-9230

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Identification Number: 10.1002/hec.1799


In cost-utility analysis, the numbers of quality-adjusted life years (QALYs) gained are aggregated by placing the same weight on each QALY. Deviations from this rubric have been proposed on a number of grounds, including the degree to which persons might be deemed responsible for the illness faced, and inequality in lifetime health between groups. Most research has looked at these factors in isolation. This paper analyses public preferences about the relative importance of these factors. Over 500 members of the general public in the UK are interviewed in their homes. Where "blameworthy" groups experience a moderate drop in quality of life due to their behaviour, they appear to receive higher priority than an otherwise "trustworthy" group f they also experience poorer health prospects because the latter is weighted more heavily than the former.

Item Type: Article
Official URL:
Additional Information: © 2011 Wiley-Blackwell
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HB Economic Theory
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Collections > Economists Online
Date Deposited: 08 Dec 2011 16:15
Last Modified: 20 Nov 2012 14:54

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