Public and decision maker stated preferences for pharmaceutical subsidy decisions: a pilot study

Whitty, Jennifer A., Scuffham, Paul A. and Rundle-Thiele, Sharyn R. (2011) Public and decision maker stated preferences for pharmaceutical subsidy decisions: a pilot study. Applied Health Economics and Health Policy, 9 2: 73-79. doi:10.2165/11537150-000000000-00000

Author Whitty, Jennifer A.
Scuffham, Paul A.
Rundle-Thiele, Sharyn R.
Title Public and decision maker stated preferences for pharmaceutical subsidy decisions: a pilot study
Journal name Applied Health Economics and Health Policy   Check publisher's open access policy
ISSN 1175-5652
Publication date 2011-03-01
Sub-type Article (original research)
DOI 10.2165/11537150-000000000-00000
Open Access Status Not yet assessed
Volume 9
Issue 2
Start page 73
End page 79
Total pages 7
Place of publication Auckland, New Zealand
Publisher Adis International
Language eng
Formatted abstract
Consideration of public preferences is desirable when making decisions on the subsidy of pharmaceuticals. Little is known about the preferences of the public for pharmaceutical funding decisions, and no study has directly compared the preferences of members of a pharmaceutical decisionmaking body with those of the public on whose behalf decisions are made.

This article reports the findings of a pilot discrete-choice experiment (DCE) undertaken to test the concept of evaluating the consistency of public and decision maker preferences for the public subsidy of pharmaceuticals.

A DCE was used to elicit the relative importance of gains in survival, quality of life (QOL), chance of response success and government costs in pharmaceutical funding decisions, and the impact that the initial severity of illness has on preferences. The DCE was administered to a sample of the Australian public and members of the Pharmaceutical Benefits Advisory Committee and its Economic Subcommittee. A mixed logit model was employed for analysis.

For both samples, increased survival, QOL and chance of response success, and a reduction in cost or uncertainty (decision makers only), increased the likelihood that a pharmaceutical would be chosen for funding. Both samples were more likely to fund a pharmaceutical that was used for the treatment of severe illness.

This study sets the foundation for future research on the relative importance of decision criteria, the contexts that impact on the criteria and the extent to which funding decisions for pharmaceuticals in Australia and elsewhere are consistent with the preferences of society.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Pharmacy Publications
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Citation counts: TR Web of Science Citation Count  Cited 86 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 10 Apr 2014, 02:05:12 EST by Jenny Whitty on behalf of School of Pharmacy