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Public Preferences for Responsibility Versus Public Preferences for Reducing Inequalities

✍ Scribed by Richard Edlin; Aki Tsuchiya; Paul Dolan

Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
485 KB
Volume
21
Category
Article
ISSN
1057-9230

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✦ Synopsis

SUMMARY

In cost‐utility analysis, the numbers of quality‐adjusted life years (QALYs) gained are aggregated by placing the same weight on each QALY. Deviations from this rubric have been proposed on a number of grounds, including the degree to which persons might be deemed responsible for the illness faced, and inequality in lifetime health between groups. Most research has looked at these factors in isolation. This paper analyses public preferences about the relative importance of these factors. Over 500 members of the general public in the UK are interviewed in their homes. Where β€œblameworthy” groups experience a moderate drop in quality of life due to their behaviour, they appear to receive higher priority than an otherwise β€œtrustworthy” group if they also experience poorer health prospects because the latter is weighted more heavily than the former. Copyright Β© 2011 John Wiley & Sons, Ltd.

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