Evaluating Health Risks

An Economic Approach

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Paperback | 26 June 1995

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204 Pages

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A major problem in health economics is how to give a value to changes in health. This is the first book to examine all the money measures that are used in such evaluations. Changes in health might be caused by medical treatments, by public safety programmes and by anti-pollution programmes, and the cost-benefit analysis of such programmes involves the use of money measures. The author defines the properties of these money measures, examining them in both a certain and a risky world. He evaluates available empirical approaches for the assessment of the value of health changes, and considers measures such as quality-adjusted life years (qalys) and healthy-years equivalents (hyes). This book raises the important question of whether we are willing to pay the costs for our health care system. It will be of interest to advanced students of health economics and related disciplines, and will also be useful for professionals working on projects that affect human health.

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"This concise and carefully written book adresses what is becomming an increasingly important issue in several field os economics." Wesley A. Magat, Journal of Economic Literature

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Preface	p. ix
Introduction	p. 1
Scope of the study	p. 1
Important contributions	p. 3
Plan of the study	p. 5
Some basic tools and concepts	p. 9
Utility maximization	p. 9
A health production function	p. 12
Intertemporal models	p. 15
Introducing risk	p. 17
Some further comments on risk	p. 22
More complex intertemporal models	p. 27
Appendix	p. 30
Evaluating health changes in a certain world	p. 33
Two money measures of a change in health	p. 33
On the properties of compensated money measures	p. 37
An example: using CV and EV	p. 40
Overall versus instantaneous money measures	p. 41
A health production function approach	p. 43
Using market data to evaluate changes in health	p. 47
Appendix	p. 49
Money measures in a risky world	p. 52
Introducing money measures in a risky world	p. 52
A WTP locus	p. 57
Evaluating changes in mortality, and the value of a statistical life	p. 59
Endogenous risks and altruism	p. 61
Changes in wealth and the value of health	p. 63
Intertemporal models	p. 65
Appendix	p. 69
Evaluating health risks: practical methodologies	p. 71
The contingent valuation method	p. 71
Closed-ended techniques	p. 79
A useful interpretation of WTP measures	p. 83
CVM studies of health risks	p. 86
The human capital approach	p. 88
Market-based estimation methods	p. 89
The value of a statistical life	p. 93
Appendix	p. 96
Contingent valuation studies of health care	p. 97
Empirical studies of the WTP for health care: a brief review	p. 97
A study of high blood pressure	p. 102
The results	p. 106
Useful formulae for the computation of the mean WTP	p. 113
Appendix	p. 114
Aggregation	p. 115
The social welfare function	p. 116
Project evaluations	p. 119
Pragmatic views on the aggregation problem	p. 124
An illustration: how to assess a treatment	p. 126
Altruism	p. 127
Altruism in cost-benefit analysis	p. 130
Appendix	p. 134
Further evaluation issues in a risky world	p. 135
The value of information	p. 135
A health production function model	p. 139
Using the model to assess health changes	p. 142
On the value of changes in life expectancy	p. 146
Appendix	p. 150
Concluding remarks on related approaches	p. 153
Qalys and hyes	p. 153
Risk-risk and risk-dollar trade-offs	p. 158
Cost-effectiveness analysis	p. 160
Appendix	p. 163
Notes	p. 168
Bibliography	p. 171
Index	p. 185
Table of Contents provided by Syndetics. All Rights Reserved.

Evaluating Health Risks

An Economic Approach

At a Glance

Paperback

Industry Reviews

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