Altruistic Preferences in Time Tradeoff: Consideration of Effects on Others in Health State Valuations

作者：Krol Marieke^*; Attema Arthur E; van Exel Job; Brouwer Werner

来源：Medical Decision Making, 2016, 36(2): 187-198.

DOI：10.1177/0272989X15615870

• altruism
• health state valuations
• time tradeoff

Whether respondents incorporate altruistic preferences in time tradeoff (TTO) exercises remains understudied. We present an extended quality-adjusted life-year model incorporating altruism. We derive that altruism may affect TTO values in 2 directions. First, longevity altruists may wish to prolong life for the sake of their loved ones (to avoid being missed). Second, quality-of-life altruists may have a preference to avoid bad health states resulting in being a burden to loved ones. The existence and influence of these preferences in a TTO were empirically confirmed in a sample of 1690 respondents from the general public. We classified respondents as longevity altruists or quality-of-life altruists based on their reasoning behind inclusion of loved ones in their TTO responses. In line with expectations, longevity altruists traded fewer years than quality-of-life altruists. Nonaltruists gave intermediate values.

• 出版日期2016-2
• 单位河北医科大学