Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest

Economic evaluation of policies regarding out-of-hospital cardiac arrest (OHCA) is important. The value of a statistical life (VSL) for OHCA victims is the most important component in a cost-benefit analysis of interventions that have the possibility to reduce mortality from this cause. This value i...

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Main Author: Björn Sund
Format: Article
Language:English
Published: University of Oslo 2017-01-01
Series:Nordic Journal of Health Economics
Subjects:
Online Access:https://journals.uio.no/NJHE/article/view/2374
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author Björn Sund
author_facet Björn Sund
author_sort Björn Sund
collection DOAJ
description Economic evaluation of policies regarding out-of-hospital cardiac arrest (OHCA) is important. The value of a statistical life (VSL) for OHCA victims is the most important component in a cost-benefit analysis of interventions that have the possibility to reduce mortality from this cause. This value is not known. We use responses to a national Swedish mail survey, based on the stated-preference technique to directly elicit individuals’ hypothetical willingness to pay for a reduced risk of dying from OHCA. A lower-bound estimate of VSL for OHCA would be in range of SEK 30 to 50 million. The value is found to be higher than for comparable VSL estimates from the transport sector, even though individuals who suffer OHCAs are generally older and less healthy than people who die in road traffic accidents. The results indicate that it is not an overestimation to use the ‘baseline’ VSL value from the transport sector (SEK 24 million) in cost-benefit analysis of OHCA policy decisions and that the cause of death is important when examining willingness to pay for death risk reductions. We do not support a general declining VSL due to the age of the victims, i.e. a ‘senior death discount’, for this cause of death. Published: Online January 2017. In print December 2017.
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spelling doaj.art-3e4f27a537964b17ba9e6cf6eae67ca52022-12-21T21:21:29ZengUniversity of OsloNordic Journal of Health Economics1892-97291892-97102017-01-015210.5617/njhe.2374Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrestBjörn SundEconomic evaluation of policies regarding out-of-hospital cardiac arrest (OHCA) is important. The value of a statistical life (VSL) for OHCA victims is the most important component in a cost-benefit analysis of interventions that have the possibility to reduce mortality from this cause. This value is not known. We use responses to a national Swedish mail survey, based on the stated-preference technique to directly elicit individuals’ hypothetical willingness to pay for a reduced risk of dying from OHCA. A lower-bound estimate of VSL for OHCA would be in range of SEK 30 to 50 million. The value is found to be higher than for comparable VSL estimates from the transport sector, even though individuals who suffer OHCAs are generally older and less healthy than people who die in road traffic accidents. The results indicate that it is not an overestimation to use the ‘baseline’ VSL value from the transport sector (SEK 24 million) in cost-benefit analysis of OHCA policy decisions and that the cause of death is important when examining willingness to pay for death risk reductions. We do not support a general declining VSL due to the age of the victims, i.e. a ‘senior death discount’, for this cause of death. Published: Online January 2017. In print December 2017.https://journals.uio.no/NJHE/article/view/2374cost-benefit analysisvalue of lifesenior death discountcardiac arrest
spellingShingle Björn Sund
Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest
Nordic Journal of Health Economics
cost-benefit analysis
value of life
senior death discount
cardiac arrest
title Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest
title_full Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest
title_fullStr Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest
title_full_unstemmed Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest
title_short Mortality-risk valuation, age and cause of death: out-of-hospital cardiac arrest
title_sort mortality risk valuation age and cause of death out of hospital cardiac arrest
topic cost-benefit analysis
value of life
senior death discount
cardiac arrest
url https://journals.uio.no/NJHE/article/view/2374
work_keys_str_mv AT bjornsund mortalityriskvaluationageandcauseofdeathoutofhospitalcardiacarrest