population vs patient values

Just had a very interesting discussion on the topic of the differences between population and patient values in valuation exercises.

I am not going to get into another argument surrounding whether we should continue using population values. Frankly I don’t care anymore what the policy-makers do and accusing me of being someone who advocates restricting the vote in an insulting manner to be close to an ad hominem attack – such a person wasn’t part of the group I was chatting with, I hasten to add!

However, the observation that experience radically changes preferences (for EQ-5D and ICECAP-O) is interesting for future work and health economists really need to decide how to reconcile this with individualised patient care at some point – at least in a manner that the population regards as acceptable (and I don’t think we have ever asked the population this).