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Related Experiment Video

Updated: May 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Valuing QALY gains by applying a societal perspective.

Ana Bobinac¹, N Job A van Exel, Frans F H Rutten

¹Department of Health Policy and Management and Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands.

Health Economics

|October 20, 2012

Summary

Societies value a quality-adjusted life year (QALY) between €52,000 and €83,000. This study provides the first direct societal estimates for QALYs, crucial for cost-utility analyses.

Keywords:

QALY WTP social perspective

Related Experiment Videos

Last Updated: May 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health Economics
Societal Valuations
Cost-Utility Analysis

Background:

Cost-utility analyses rely on a defined threshold for costs per quality-adjusted life year (QALY).
Societal value of a QALY is often considered the appropriate threshold.
Previous research focused on individual, not societal, valuations of health gains.

Purpose of the Study:

To provide the first direct empirical estimates of societal willingness to pay for a QALY.
To inform the definition of thresholds for cost-utility analyses from a societal perspective.

Main Methods:

Utilized the contingent valuation approach to estimate WTP for QALYs.
Valued QALYs under uncertainty and applied probability weighting corrections.
Conducted the study on a representative sample of the Dutch population (n=1004).

Main Results:

Societal willingness to pay for a QALY ranged from €52,000 to €83,000.
Estimates varied based on the specification of the societal perspective.
Scale sensitivity of the valuation was found to be weak.

Conclusions:

This study offers crucial empirical data for setting societal thresholds in health economic evaluations.
The findings contribute to a better understanding of the societal value placed on health gains.
Further research may be needed to address the weak scale sensitivity observed.