Please use this identifier to cite or link to this item:
Title: The societal monetary value of a QALY associated with EQ-5D-3L health gains
Authors: Vallejo Torres, Laura 
García Lorenzo,Borja 
Rivero-Arias, Oliver
Pinto-Prades, José Luis
UNESCO Clasification: 531008 Acuerdos monetarios internacionales
Keywords: Eq-5D
Quality-Adjusted Life Year
Social Perspective
Willingness To Pay
Issue Date: 2020
Journal: European Journal of Health Economics 
Abstract: There is an extensive body of empirical research that focuses on the societal monetary value of a quality-adjusted life year (MVQALY). Many of these studies have found the estimates to be inversely associated with the size of the health gain, and thus not conforming to the linearity assumption imposed in the QALY model. In this study, we explore the extent to which the MVQALY varies when it is associated with different types and magnitudes of quality of life (QoL) improvements. To allow for a comprehensive assessment, we derive the MVQALY corresponding to the full spectrum of health gains defined by the EQ-5D-3L instrument. The analysis was based on a large and representative sample of the population in Spain. A discrete choice experiment and a time trade-off exercise were used to derive a value set for utilities, followed by a willingness to pay questionnaire. The data were jointly analysed using regression analyses and bootstrapping techniques. Our findings indicate that societal values for a QALY corresponding to different EQ-5D-3L health gains vary approximately between 10,000€ and 30,000€. MVQALY associated with larger improvements on QoL was found to be lower than that associated with moderate QoL gains. The potential sources of the observed non-constant MVQALY are discussed.
ISSN: 1618-7598
DOI: 10.1007/s10198-019-01140-4
Source: European Journal of Health Economics[ISSN 1618-7598], n. 21, p. 363–379
Appears in Collections:Artículos
Show full item record


checked on Jun 26, 2022


checked on Jun 26, 2022

Page view(s)

checked on Jun 11, 2022

Google ScholarTM




Export metadata

Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.