Hammitt, James K. (2022) Prevention, Treatment, and Palliative Care: The Relative Value of Health Improvements under Alternative Evaluation Frameworks. TSE Working Paper, n. 22-1339, Toulouse

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Abstract

The social value of decreasing health risks can be evaluated using benefit-cost analysis (BCA), cost-effectiveness analysis (CEA), or a social-welfare function (SWF). These frameworks can produce different social preference rankings of interventions depending on how their health effects and costs are distributed in a population. This paper derives social values of marginal decreases in the probability of illness, its severity (decrease in health status), lethality (conditional mortality risk), and cost under BCA, CEA, and three benchmark SWFs: utilitarian, ex ante prioritarian, and ex post prioritarian. The sensitivity of the social values of improvements in health and decreases in cost to individual circumstances are diverse. In contrast, the conditions under which a decrease in risk, severity, or lethality is socially preferred to a decrease in another of these dimensions are identical for BCA, CEA, the utilitarian and ex ante prioritarian SWFs, but can differ for the ex post prioritarian SWF.

Item Type: Monograph (Working Paper)
Language: English
Date: May 2022
Place of Publication: Toulouse
Uncontrolled Keywords: prevention, treatment, morbidity, social-welfare function, benefit-cost analysis, value per statistical life
JEL Classification: D61 - Allocative Efficiency; Cost-Benefit Analysis
D63 - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
D81 - Criteria for Decision-Making under Risk and Uncertainty
I10 - General
I31 - General Welfare; Basic Needs; Living Standards; Quality of Life; Happiness
Subjects: B- ECONOMIE ET FINANCE
Divisions: TSE-R (Toulouse)
Institution: Université Toulouse 1 Capitole
Site: UT1
Date Deposited: 01 Jun 2022 11:45
Last Modified: 03 Feb 2023 14:58
OAI Identifier: oai:tse-fr.eu:126999
URI: https://publications.ut-capitole.fr/id/eprint/45485

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