Investigating Choice Experiments for Preferences of Older People (ICEPOP): Evaluative spaces in health economics

Coast, J; Flynn, T; Sutton, E; Al-Janabi, H; Vosper, J; Lavender, S; Louviere, J; Peters, T

Investigating Choice Experiments for Preferences of Older People (ICEPOP): Evaluative spaces in health economics

Coast, J Flynn, T Sutton, E Al-Janabi, H Vosper, J Lavender, S Louviere, J Peters, T

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Publication Type:: Journal Article
Citation:: Journal of Health Services Research and Policy, 2008, 13 (SUPPL. 3), pp. 31 - 37
Issue Date:: 2008-10-01

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Field	Value	Language
dc.contributor.author	Coast, J	en_US
dc.contributor.author	Flynn, T	en_US
dc.contributor.author	Sutton, E	en_US
dc.contributor.author	Al-Janabi, H	en_US
dc.contributor.author	Vosper, J	en_US
dc.contributor.author	Lavender, S	en_US
dc.contributor.author	Louviere, J	en_US
dc.contributor.author	Peters, T	en_US
dc.date.issued	2008-10-01	en_US
dc.identifier.citation	Journal of Health Services Research and Policy, 2008, 13 (SUPPL. 3), pp. 31 - 37	en_US
dc.identifier.issn	1355-8196	en_US
dc.identifier.uri	http://hdl.handle.net/10453/9717
dc.description.abstract	This paper deals with three concerns about the evaluative framework that is currently dominant within health economics. These concerns are: that the evaluative framework is concerned entirely with health; that the evaluative framework has an individualistic focus on patients alone; and that the methods used to estimate 'health' within the current evaluative framework could be improved both in terms of the generation of descriptive systems and in using valuation methods that rely less on people's ability to express their preferences on a cardinal scale. In exploring these issues the Investigating Choice Experiments for Preferences of Older People (ICEPOP) programme has explicitly focused on both the topic of older people and the methods of discrete choice experiments. A capability index has been developed and attributes for an economic measure of end-of-life care are currently being generated, providing the possibility of extending the evaluative framework beyond health alone. A measure of carer's experience and a framework for extending measurement in end-of-life care to loved ones are both also in development, thus extending the evaluative framework beyond the patient alone. Rigorous qualitative methods employing an iterative approach have been developed for use in constructing attributes, and best-worst scaling has been utilized to reduce task complexity and provide insights into heterogeneity. There are a number of avenues for further research in all these areas, but in particular there is need for greater attention to be paid to the theory underlying the evaluative framework within health economics. © The Royal Society of Medicine Press Ltd 2008.	en_US
dc.relation.ispartof	Journal of Health Services Research and Policy	en_US
dc.relation.isbasedon	10.1258/jhsrp.2008.008024	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Terminal Care	en_US
dc.subject.mesh	Models, Econometric	en_US
dc.subject.mesh	Choice Behavior	en_US
dc.subject.mesh	Quality-Adjusted Life Years	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Program Development	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	United Kingdom	en_US
dc.title	Investigating Choice Experiments for Preferences of Older People (ICEPOP): Evaluative spaces in health economics	en_US
dc.type	Journal Article
utslib.citation.volume	SUPPL. 3	en_US
utslib.citation.volume	13	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1402 Applied Economics	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CENSOC - Study of Choice
utslib.copyright.status	closed_access
pubs.issue	SUPPL. 3	en_US
pubs.publication-status	Published	en_US
pubs.volume	13	en_US

Abstract:

This paper deals with three concerns about the evaluative framework that is currently dominant within health economics. These concerns are: that the evaluative framework is concerned entirely with health; that the evaluative framework has an individualistic focus on patients alone; and that the methods used to estimate 'health' within the current evaluative framework could be improved both in terms of the generation of descriptive systems and in using valuation methods that rely less on people's ability to express their preferences on a cardinal scale. In exploring these issues the Investigating Choice Experiments for Preferences of Older People (ICEPOP) programme has explicitly focused on both the topic of older people and the methods of discrete choice experiments. A capability index has been developed and attributes for an economic measure of end-of-life care are currently being generated, providing the possibility of extending the evaluative framework beyond health alone. A measure of carer's experience and a framework for extending measurement in end-of-life care to loved ones are both also in development, thus extending the evaluative framework beyond the patient alone. Rigorous qualitative methods employing an iterative approach have been developed for use in constructing attributes, and best-worst scaling has been utilized to reduce task complexity and provide insights into heterogeneity. There are a number of avenues for further research in all these areas, but in particular there is need for greater attention to be paid to the theory underlying the evaluative framework within health economics. © The Royal Society of Medicine Press Ltd 2008.

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http://hdl.handle.net/10453/9717