Scandinavian Working Papers in Economics

COHERE Working Paper,
University of Southern Denmark, COHERE - Centre of Health Economics Research

No 2017:2: Is there additional value attached to health gains at the end-of-life? A re-visit

Dorte Gyrd-Hansen ()
Additional contact information
Dorte Gyrd-Hansen: COHERE, Postal: Department of Business and Economics & Department of Public Health, University of Southern Denmark

Abstract: Researchers have in recent years sought to establish whether the general public value treatment at the end-of-life (EOL) more highly than other treatments. Results are mixed, with social preferences most often exhibiting lack of preferences for EOL treatments. This nul-result may be driven by the often applied study design, where respondents are to choose between treatments targeting patients with varying fixed life-expectancies. When remaining life is certain and salient, a rule-of-rescue sentiment may drive preferences across all scenarios. This study presents a different design, where the comparator is a preventive intervention. We study preferences from both an individual and social perspective, and find no preference for an EOL premium when age is held constant. We test the interaction between age and EOL treatment, and finder stronger preferences when patients face premature death.

Keywords: Stated preferences; priority setting; end-of-life treatment

JEL-codes: D61; I13; I14; I28

9 pages, January 16, 2017

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