Re-thinking the different perspectives that can be used when eliciting preferences in health

Re-thinking the different perspectives that can be used when eliciting preferences in health

The 2003 Health Economics paper ‘An inquiry into the different perspectives that can be used when eliciting preferences in health’ presents a conceptual framework of six perspectives along two dimensions: preferences (personal, social and socially inclusive personal) and context (ex ante and ex post). We rethink this framework by asking four questions concerning: the patient, or the user of the treatment; the payer of the treatment; and the assessor of the value of treatment; and the timing of the illness and the nature of its risk. These questions refine the preference and context dimensions, and leads to the identification of perspectives not classified by the original framework. We propose an extended framework with five preferences (personal, non-use, proxy, social and socially inclusive personal) and five contexts (one of which is ex post and four ex ante), resulting in 22 possible perspectives.

Outcome and Translation

We show that the DOMR framework is imprecise and incomplete in both the preference and context dimensions. Our extended five-by-five framework will facilitate comparisons across empirical studies with more clarity at the conceptual level. Our extended framework has better coverage to accommodate the expanded range of contexts in which preference elicitation is applied.

HERU researchers involved in this research project: Verity Watson

External collaborators: A Tsuchiya (ScHAAR, University of Sheffield)

Publications

Tsuchiya, A. and Watson, V. (2016) 'Re-thinking 'the different perspectives that can be used when eliciting preferences in health', Sheffield: School of Health and Related Research (ScHARR), University of Sheffield. [pdf]

Tsuchiya, A. and Watson, V. (2017) 'Re-thinking ‘The different perspectives that can be used when eliciting preferences in health’, Health Economics, 26(12), e103-e107.

Presentations

Tsuchiya, A. and Watson, V. (2016) 'Re-thinking 'The different perspectives that can be used when eliciting preferences in health', Health Economists' Study Group (HESG) Meeting, University of Manchester, Manchester, England, 6-8 January 2016.