Several studies have sought to determine the monetary value of health gains expressed as Quality Adjusted Life Years gained, predominantly using Willingness to Pay approaches. However, Willingness to Pay has a number of recognised problems, most notably its insensitivity to scope. This paper...

This paper will consider the arguments for using preference-based CSMs in economic evaluation and the different ways in which this could be done. This paper will consider three arguments for using CSMs: 1) popularity with clinicians, 2) greater sensitivity to the consequences of the condition...

Background: The quality-adjusted life year (QALY) is typically used in economic evaluation among health care interventions, which relies on some generic preference-based measures of health, such as EQ-5D, HUI and SF-6D etc. However, it has been widely assumed that those generic preference-based...

There is interest in the use of discrete choice experiments that include a duration attribute (DCETTO) to generate health utility values, but questions remain on its feasibility in large health state descriptive systems. This study examines the stability of DCETTO to estimate health utility...

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Current practice in economic evaluation is to assign equal social value to a unit of health improvement ('a QALY is a QALY is a QALY'). Alternative equity positions are typically considered separately from efficiency. One proposal seeks to integrate these two sets of societal concerns by...