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Related Experiment Videos

Estimating general-population utilities using one binary-gamble question per respondent.

J L Bosch1, J K Hammitt, M C Weinstein

  • 1University of Groningen, The Netherlands.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|June 18, 1999
PubMed
Summary
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Societal preferences for health states can be measured using a binary-gamble question. Disease-specific descriptions resulted in lower health utility values compared to generic descriptions.

Area of Science:

  • Health Economics
  • Psychometrics
  • Societal Preferences

Background:

  • Societal preferences for health states are crucial for health policy and resource allocation.
  • Existing methods for measuring health utilities often rely on patient-reported outcomes, which may not fully capture societal values.
  • The binary-gamble method offers a potential alternative for eliciting societal preferences.

Purpose of the Study:

  • To assess the feasibility of using a single binary-gamble question to obtain societal preferences for specific health states.
  • To compare societal preferences with patient-derived Health Utilities Indices.
  • To investigate the impact of vignette presentation (generic vs. disease-specific) on health utility values.

Main Methods:

  • A random sample of 1,003 U.S. adults participated in telephone interviews.

Related Experiment Videos

  • Respondents answered a single binary-gamble question for intermittent claudication and major amputation health states.
  • Societal utility was estimated based on acceptance rates of varying risks of death, using a method adapted from contingent valuation.

    • Main Results:

    • The binary-gamble question proved feasible for eliciting societal preferences for health states.
    • Societal preferences obtained via this method differed from patient-derived Health Utilities Indices.
    • Disease-specific health state descriptions yielded significantly lower utility values compared to generic descriptions.

    Conclusions:

    • The binary-gamble approach is a viable method for assessing societal preferences for health states.
    • The presentation format of health state information influences societal utility valuations.
    • Further research is warranted to refine this method and explore its applications in health economics.