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The time trade-off method: results from a general population study

P Dolan1, C Gudex, P Kind

  • 1University of Newcastle, UK.

Health Economics
|March 1, 1996
PubMed
Summary
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Establishing healthcare priorities requires understanding resource allocation impacts on health-related quality-of-life (HRQoL). A national study using the time trade-off (TTO) method found public valuations for health states vary by age and sex, with implications for policy.

Area of Science:

  • Health Economics
  • Public Health Policy
  • Quality of Life Research

Background:

  • Resource allocation in healthcare significantly impacts health-related quality-of-life (HRQoL).
  • Understanding public preferences for different health states is crucial for setting healthcare priorities.

Purpose of the Study:

  • To elicit and analyze the general public's relative valuations of various health states.
  • To investigate the feasibility of using the time trade-off (TTO) method for large-scale public valuation of HRQoL.

Main Methods:

  • Employed the time trade-off (TTO) method to derive health state valuations.
  • Collected data from a large-scale national study involving 3395 respondents.

Main Results:

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  • Demonstrated high consistency in respondent data, confirming the feasibility of the TTO method for public elicitation.
  • Revealed that valuations for severe health states are influenced by respondent age (younger individuals value them higher) and sex (men value them higher than women).

    • Conclusions:

    • The findings suggest significant demographic variations in health state valuations, contradicting previous research with smaller samples.
    • These demographic differences have critical implications for public policy and equitable healthcare resource allocation.