Comparing WTP values of different types of QALY gain elicited from the general public

Mark Pennington, Rachel Baker, Werner Brouwer, Helen Mason, Dorte Gyrd-Hansen, Angela Robinson, Cam Donaldson, EuroVaQ Team

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The appropriate thresholds for decisions on the cost-effectiveness of medical interventions remain controversial, especially in ‘end of life’ situations. Evidence of the values placed on different types of health gain by the general public is limited. Across nine European countries, 17,657 people were presented with different hypothetical health scenarios each involving a gain of one quality adjusted life year (QALY) and asked about their willingness to pay (WTP) for that gain. The questions included quality of life (QoL) enhancing and life extending health gains, and a scenario where respondents faced imminent, premature death.
Original languageEnglish
Pages (from-to)280–293
Number of pages14
JournalHealth Economics
Issue number3
Early online date11 Dec 2013
Publication statusPublished - Mar 2015


  • QALY
  • willingness to pay (WTP)
  • QALY weights
  • valuation
  • health economics
  • end of life treatments

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