Increasing marginal utility of small increases in life-expectancy? Results from a population survey

J Health Econ. 2010 Jul;29(4):541-8. doi: 10.1016/j.jhealeco.2010.03.010. Epub 2010 Apr 9.

Abstract

The standard practice in cost-effectiveness analyses of health care is to assign a linear value to increasing lifetime gains. The aim of the current study was to examine the possible existence of non-linear utility for short life extensions. A representative sample of the Norwegian population, aged 40-59 years (n=2402), was asked to imagine that they had a limited remaining lifetime (1 year or 10 years) and were offered a treatment that would increase lifetime by a specified amount of time from 1 week to 1 year. In all scenarios, the price per week of life extension was held constant. The proportion of respondents that accepted the treatment increased with increasing extensions, indicating a convex utility function. The result suggests increasing marginal utility for life extensions up to 1 year.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health
  • Cost-Benefit Analysis / methods
  • Delivery of Health Care / economics*
  • Female
  • Humans
  • Life Expectancy*
  • Male
  • Middle Aged
  • Nonlinear Dynamics
  • Norway
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Preference*
  • Surveys and Questionnaires