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Health Economics
Article . 2022 . Peer-reviewed
License: CC BY
Data sources: Crossref
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PubMed Central
Other literature type . 2022
License: CC BY
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Health Economics
Article . 2022
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Reference‐dependent age weighting of quality‐adjusted life years

Authors: Arthur E. Attema; Werner B. F. Brouwer; Jose Luis Pinto‐Prades;

Reference‐dependent age weighting of quality‐adjusted life years

Abstract

ABSTRACTPeople do not only care about maximizing health gains but also about their distribution. For example, they give more weight to younger patients than older patients. This pilot study aims to investigate if age weighting is reinforced by loss aversion if young people are falling behind one's perceived ‘normal’ quality of life (QoL), while older people do not. We apply a person trade‐off method in a large representative sample (n = 990) to estimate age weighting factors. We also measure QoL levels that individuals regard as ‘normal’ for different ages, serving as reference points. We observe a considerable amount of age weighting, with 20‐year‐old patients on average receiving 1.7 times as much weight as 80‐year‐old patients. Perceived ‘normal’ QoL rapidly decreases with age of a patient. Older people are more optimistic about what constitutes ‘normal QoL’ than younger people, but they express a faster decline in normal QoL due to aging. Respondents who view all improvements to be gain enlarging show the least age weighting, but loss aversion cannot explain the results. Still, one's age‐related reference level is an important predictor of age weights. Given the explorative nature of this study, further studies are called for to generate more robust evidence.

Country
Netherlands
Related Organizations
Keywords

Adult, Aged, 80 and over, Aging, Adolescent, Age Factors, Pilot Projects, Young Adult, SDG 3 - Good Health and Well-being, Quality of Life, Humans, Quality-Adjusted Life Years, Research Articles, Aged

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Top 10%
Average
Top 10%
Green
hybrid