VALUING QALY GAINS BY APPLYING A SOCIETAL PERSPECTIVE
首次直接估计了社会视角下人们为获得一个质量调整生命年(QALY)的支付意愿,基于荷兰人口样本(n=1004)得出估计值在52,000至83,000欧元之间,但规模敏感性较弱。
Interpreting the outcomes of cost utility analyses requires an appropriately defined threshold for costs per quality-adjusted life year (QALY). A common view is that the threshold should represent the (consumption) value a society attaches to a QALY. So far, individual valuations of personal health gains have mainly been studied rather than potentially relevant social values. In this study, we present the first direct empirical estimates of the willingness to pay for a QALY from a societal perspective. We used the contingent valuation approach, valuing QALYs under uncertainty and correcting for probability weighting. The estimates obtained in a representative sample of the Dutch population (n = 1004) range from €52,000 to €83,000, depending on the specification of the societal perspective. The scale sensitivity was weak, however.