Patient and Payer Preferences for Additional Value Criteria.

Area of Science:

• Health Economics
• Decision Science
• Patient-Reported Outcomes

Background:

• Defining healthcare value is challenging, influenced by stakeholders and context.
• Quality-adjusted life year (QALY) is standard but omits other value criteria.
• Traditional assessments often lack patient and payer perspectives on value.

Purpose of the Study:

• To elicit and rank additional value criteria important to patients and payers.
• To explore the potential use of Multiple Criteria Decision Analysis (MCDA) for value assessment.
• To understand differing stakeholder perspectives on healthcare value.

Main Methods:

• Focus group with 7 cancer patients.
• Electronic survey for follow-up patient input.
• In-depth phone interviews with 5 payers.

Main Results:

• Payers prioritize tangible benefits and unmet needs.
• Patients value hope and potential future population benefits.
• Payers find incorporating these patient-centric criteria challenging for objective decisions.

Conclusions:

• Multiple Criteria Decision Analysis (MCDA) can integrate qualitative aspects into value assessments.
• MCDA offers a framework to reflect patient preferences in treatment value.
• Incorporating diverse criteria enhances healthcare value definition.