Journal
HEALTH POLICY
Volume 74, Issue 1, Pages 77-84Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.healthpol.2004.12.009
Keywords
willingness to pay; quality adjusted life years; decision-making
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There is growing interest in estimating the 'societal' willingness to pay (WTP) for a quality adjusted life year (QALY) to help public health system decision-makers determine whether a health care programme should/not be undertaken. However, there is a lack of clarity in this debate concerning four core issues: (i) is 'social' WTP simply the sum of 'individual' WTP; (ii) will 'individual' WTP map directly into 'social' WTP; (iii) is 'personal' income the appropriate budget constraint; (iv) should WTP be adjusted for ability to pay? This paper outlines the relevance and importance of each of these issues in the hope of encouraging a wider debate on the core issues that empirical studies will have to explore to discover whether such a value may be obtained. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
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