EFFICIENCY AND EQUITY: A STATED PREFERENCE APPROACH
Article first published online: 23 APR 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 5, pages 568–581, May 2013
How to Cite
Norman, R., Hall, J., Street, D. and Viney, R. (2013), EFFICIENCY AND EQUITY: A STATED PREFERENCE APPROACH. Health Econ., 22: 568–581. doi: 10.1002/hec.2827
- Issue published online: 4 APR 2013
- Article first published online: 23 APR 2012
- Manuscript Accepted: 2 APR 2012
- Manuscript Revised: 14 DEC 2011
- Manuscript Received: 6 JUN 2011
- equity weights;
- discrete choice experiment;
- random-effects probit;
- economic evaluation
Outcome measurement in the economic evaluation of health care considers outcomes independent of to whom they accrue. This article reports on a discrete choice experiment designed to elicit population preferences regarding the allocation of health gain between hypothetical groups of potential patients. A random-effects probit model is estimated, and a technique for converting these results into equity weights for use in economic evaluation is adopted. On average, the modelling predicts a relatively high social value on health gains accruing to nonsmokers, carers, those with a low income and those with an expected age of death less than 45 years. Respondents tend to favour individuals with similar characteristics to themselves. These results challenge the conventional practice of assuming constant equity weighting. For decision makers, whether a formal equity weighting system represents an improvement on more informal approaches to weighing up equity and efficiency concerns remains uncertain. Copyright © 2012 John Wiley & Sons, Ltd.