Gyrd-Hansen Dorte
Institute of Public Health, University of Southern Denmark, Winsløwparken, Denmark.
Health Econ. 2003 Dec;12(12):1049-60. doi: 10.1002/hec.799.
A willingness to pay (WTP) per quality-adjusted-life year (QALY) of DKK 88,000 was estimated on the basis of elicited preferences for health states. The WTP per QALY estimate presented here differs considerably from that implied in contingent valuation studies, suggesting that WTP for reducing risk of death is based on other preference structures than is ex post WTP for improvements in quality of life. Results further suggest that different preference structures may exist when respondents are faced with WTP questions in which case elimination of minor health problems are associated with negligible utility.
基于对健康状态的偏好调查,估计每质量调整生命年(QALY)的支付意愿(WTP)为88,000丹麦克朗。此处给出的每QALY的WTP估计值与条件价值评估研究中隐含的值有很大差异,这表明降低死亡风险的WTP基于与事后提高生活质量的WTP不同的偏好结构。结果还表明,当受访者面对WTP问题时,可能存在不同的偏好结构,在这种情况下,消除轻微健康问题带来的效用可忽略不计。