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Related Experiment Videos

Are preferences over health states complete?

A Shiell1, J Seymour, P Hawe

  • 1Social and Public Health Economics Research (SPHERe) Group, Department of Public Health and Community Medicine, University of Sydney, Australia. alans@pub.health.usyd.edu.au

Health Economics
|March 1, 2000
PubMed
Summary
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Health economics often assumes complete patient preferences. However, this study found one-third of participants constructed preferences during interviews, suggesting completeness isn't guaranteed.

Area of Science:

  • Health Economics
  • Decision Science
  • Behavioral Economics

Background:

  • Applied health economics typically assumes complete preferences for health states or services.
  • An alternative view posits that preferences are constructed during choice tasks, not merely revealed.
  • This construction process may be misinterpreted as measurement error.

Purpose of the Study:

  • To assess the completeness of health preferences in individuals.
  • To explore whether health values are pre-defined or constructed during valuation.

Main Methods:

  • A study was conducted to evaluate the completeness of health preferences.
  • Participants' willingness to pay or standard gamble responses were analyzed.
  • Repeat administrations were used to assess value stability.

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Main Results:

  • Most participants' health values remained stable across repeat administrations, indicating completeness.
  • However, one-third of participants intentionally altered their responses.
  • These participants reported that the interview process prompted deeper reflection on their values.

Conclusions:

  • Health preference completeness cannot be assumed.
  • The process of preference elicitation may actively shape values.
  • Further research with larger samples is needed to confirm these findings.