Trading people versus trading time: What is the difference?
<p>Abstract</p> <p>Background</p> <p>Person trade-off (PTO) elicitations yield different values than standard utility measures, such as time trade-off (TTO) elicitations. Some people believe this difference arises because the PTO captures the importance of distributive...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2005-11-01
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| Series: | Population Health Metrics |
| Online Access: | http://www.pophealthmetrics.com/content/3/1/10 |
| _version_ | 1828737253176770560 |
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| author | Goldstein Christine C Roberts Todd R Damschroder Laura J Miklosovic Molly E Ubel Peter A |
| author_facet | Goldstein Christine C Roberts Todd R Damschroder Laura J Miklosovic Molly E Ubel Peter A |
| author_sort | Goldstein Christine C |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Person trade-off (PTO) elicitations yield different values than standard utility measures, such as time trade-off (TTO) elicitations. Some people believe this difference arises because the PTO captures the importance of distributive principles other than maximizing treatment benefits. We conducted a qualitative study to determine whether people mention considerations related to distributive principles other than QALY-maximization more often in PTO elicitations than in TTO elicitations and whether this could account for the empirical differences.</p> <p>Methods</p> <p>64 members of the general public were randomized to one of three different face-to-face interviews, thinking aloud as they responded to TTO and PTO elicitations. Participants responded to a TTO followed by a PTO elicitation within contexts that compared either: 1) two life-saving treatments; 2) two cure treatments; or 3) a life-saving treatment versus a cure treatment.</p> <p>Results</p> <p>When people were asked to choose between life-saving treatments, non-maximizing principles were more common with the PTO than the TTO task. Only 5% of participants considered non-maximizing principles as they responded to the TTO elicitation compared to 68% of participants who did so when responding to the PTO elicitation. Non-maximizing principles that emerged included importance of equality of life and a desire to avoid discrimination. However, these principles were less common in the other two contexts. Regardless of context, though, participants were significantly more likely to respond from a societal perspective with the PTO compared to the TTO elicitation.</p> <p>Conclusion</p> <p>When lives are at stake, within the context of a PTO elicitation, people are more likely to consider non-maximizing principles, including the importance of equal access to a life-saving treatment, avoiding prejudice or discrimination, and in rare cases giving treatment priority based purely on the position of being worse-off.</p> |
| first_indexed | 2024-04-12T23:41:59Z |
| format | Article |
| id | doaj.art-b6e3472db7ab454bb16a7e12a85d65b1 |
| institution | Directory Open Access Journal |
| issn | 1478-7954 |
| language | English |
| last_indexed | 2024-04-12T23:41:59Z |
| publishDate | 2005-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Population Health Metrics |
| spelling | doaj.art-b6e3472db7ab454bb16a7e12a85d65b12022-12-22T03:11:59ZengBMCPopulation Health Metrics1478-79542005-11-01311010.1186/1478-7954-3-10Trading people versus trading time: What is the difference?Goldstein Christine CRoberts Todd RDamschroder Laura JMiklosovic Molly EUbel Peter A<p>Abstract</p> <p>Background</p> <p>Person trade-off (PTO) elicitations yield different values than standard utility measures, such as time trade-off (TTO) elicitations. Some people believe this difference arises because the PTO captures the importance of distributive principles other than maximizing treatment benefits. We conducted a qualitative study to determine whether people mention considerations related to distributive principles other than QALY-maximization more often in PTO elicitations than in TTO elicitations and whether this could account for the empirical differences.</p> <p>Methods</p> <p>64 members of the general public were randomized to one of three different face-to-face interviews, thinking aloud as they responded to TTO and PTO elicitations. Participants responded to a TTO followed by a PTO elicitation within contexts that compared either: 1) two life-saving treatments; 2) two cure treatments; or 3) a life-saving treatment versus a cure treatment.</p> <p>Results</p> <p>When people were asked to choose between life-saving treatments, non-maximizing principles were more common with the PTO than the TTO task. Only 5% of participants considered non-maximizing principles as they responded to the TTO elicitation compared to 68% of participants who did so when responding to the PTO elicitation. Non-maximizing principles that emerged included importance of equality of life and a desire to avoid discrimination. However, these principles were less common in the other two contexts. Regardless of context, though, participants were significantly more likely to respond from a societal perspective with the PTO compared to the TTO elicitation.</p> <p>Conclusion</p> <p>When lives are at stake, within the context of a PTO elicitation, people are more likely to consider non-maximizing principles, including the importance of equal access to a life-saving treatment, avoiding prejudice or discrimination, and in rare cases giving treatment priority based purely on the position of being worse-off.</p>http://www.pophealthmetrics.com/content/3/1/10 |
| spellingShingle | Goldstein Christine C Roberts Todd R Damschroder Laura J Miklosovic Molly E Ubel Peter A Trading people versus trading time: What is the difference? Population Health Metrics |
| title | Trading people versus trading time: What is the difference? |
| title_full | Trading people versus trading time: What is the difference? |
| title_fullStr | Trading people versus trading time: What is the difference? |
| title_full_unstemmed | Trading people versus trading time: What is the difference? |
| title_short | Trading people versus trading time: What is the difference? |
| title_sort | trading people versus trading time what is the difference |
| url | http://www.pophealthmetrics.com/content/3/1/10 |
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