The validity of time trade-off values in calculating QALYs: constant proportional time trade-off versus the proportional heuristic.
In order to calculate quality adjusted life years (QALYs) from time trade-off (TTO) responses, individual preferences are required to satisfy the constant proportional time trade-off (CPTTO) assumption. Respondents who use a simple proportional heuristic may appear to satisfy CPTTO but will in fact generate preference reversals for states that are associated with a maximal endurable time (MET). Using data from 91 respondents, the study reported here examines the extent to which valuations satisfy the CPTTO assumption and the extent to which they might be generated by the proportional heuristic. The results suggest that respondents are using a proportional heuristic that casts doubt on the validity of using the TTO method to calculate QALYs for health states that are associated with MET preferences.
Dolan
Paul
P
Department of Economics, Sheffield Health Economics Group, University of Sheffield, 30 Regene Street, Sheffield S1 4DA, UK. p.dolan@shef.ac.uk
Stalmeier
Peep
P
D000203:Activities of Daily Living / Q000145:classification; D000328:Adult; D000465:Algorithms; D001294:Attitude to Health; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D003362:Cost-Benefit Analysis; D005260:Female; D006304:Health Status; D006801:Humans; D008017:Life Expectancy; D008297:Male; D008490:Medical Informatics / Q000193:education; D009426:Netherlands; D019057:Quality-Adjusted Life Years; D015203:Reproducibility of Results; D013334:Students / Q000523:psychology; D011795:Surveys and Questionnaires; D013995:Time; D006113:United Kingdom; D026712:Value of Life