Aki Tsuchiya
University of Sheffield
Actuarial scienceEconomicsValuation (finance)PopulationMedicine
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Publications 214
#1Simon McNamara (University of Sheffield)H-Index: 1
#2John Holmes (University of Sheffield)H-Index: 21
Last. Aki Tsuchiya (University of Sheffield)H-Index: 40
view all 4 authors...
There is growing interest in the use of “distributionally-sensitive” forms of economic evaluation that capture both the impact of an intervention upon average population health and the distribution of that health amongst the population. This review aims to inform the conduct of distributionally sensitive evaluations in the UK by answering three questions: (1) How averse are the UK public towards inequalities in lifetime health between socioeconomic groups? (2) Does this aversion differ depending...
1 CitationsSource
#1John BrazierH-Index: 77
#2Donna RowenH-Index: 26
Last. Rachel IbbotsonH-Index: 5
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Background:  Generic preference-based measures (e.g. EQ-5D) do not have condition labels  Condition specific preference based measures (e.g. AQL-5D) and vignettes often have the condition name embedded in the text (e.g. ‘experienced asthma symptoms as a result of air pollution’) or in the valuation task  No consensus in literature on impact of condition labelling due to previous studies being too small, within subject (and hence ‘focusing’ on condition) or covering a small severity range Obje...
#1Ignacio Abásolo Alessón (ULL: University of La Laguna)H-Index: 9
#2Aki Tsuchiya (University of Sheffield)H-Index: 40
Evaluation of future social welfare may not only depend on the aggregate of individual prospects, but also on how the prospects are distributed across individuals. The latter in turn would depend on how people perceive inequality and risk at the collective level (or “social risk”). This paper examines distributional preferences regarding inequality in outcomes and social risk for health and income, in the context of losses. Specifically, four kinds of aversions are compared: outcome-inequality a...
#1Petra Meier (University of Sheffield)H-Index: 28
#2Robin C. Purshouse (University of Sheffield)H-Index: 22
Last. Craig Watkins (University of Sheffield)H-Index: 22
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The conditions in which we are born, grow, live, work and age are key drivers of health and inequalities in life chances. To maximise health and wellbeing across the whole population, we need well-coordinated action across government sectors, in areas including economic, education, welfare, labour market and housing policy. Current research struggles to offer effective decision support on the cross-sector strategic alignment of policies, and to generate evidence that gives budget holders the con...
#1Aki Tsuchiya (University of Sheffield)H-Index: 40
#2Nick Bansback (UBC: University of British Columbia)H-Index: 34
Last. Brendan Mulhern (University of Sheffield)H-Index: 19
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Background. The EQ-5D instrument has 5 dimensions. This article reports on the effects of manipulating a) the order in which the 5 dimensions are presented (appearing first v. last), b) splitting of the composite dimensions (“pain or discomfort” and “anxiety or depression”), and c) removing or “bolting off” 1 of the 5 EQ-5D dimensions at a time. The effects were examined in 2 contexts: 1) self-reporting health and 2) health state valuations. Methods. Three different types of discrete choice expe...
#1Simon Walker (Ebor: University of York)H-Index: 26
#2Susan Griffin (Ebor: University of York)H-Index: 24
Last. Mark Sculpher (Ebor: University of York)H-Index: 77
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In most societies, resources are distributed by individuals acting in markets and by governments through some form of collective decision-making process. Economic evaluation offers a set of tools to inform collective decisions by examining the resource requirements and outcomes of alternative policies. The ‘societal perspective’ has been advocated, but less consideration has been given to what this should include and its practical implementation. This paper presents a framework for economic eval...
1 CitationsSource
#1Naomi Gibbs (University of Sheffield)
#2Philip A. Powell (University of Sheffield)H-Index: 9
Last. Aki Tsuchiya (University of Sheffield)H-Index: 40
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Abstract The National Health Service in the UK is set up under the principle of “equal access for equal need”, where those with identical medical needs should be given equal priority in receiving health care. However, non-medical needs may also be relevant in health care decision-making. This paper considers how members of the general public value access to a health service given equal medical needs, where some service users have additional non-medical needs. There are three primary research que...
#1Yan FengH-Index: 10
#2Arne Risa Hole (University of Sheffield)H-Index: 20
Last. Ben van Hout (University of Sheffield)H-Index: 23
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textabstractTime Trade-Off (TTO) usually relies on “iteration,” which is susceptible to bias. Discrete Choice Experiment with duration (or DCETTO) is free of such bias, but respondents find this cognitively more challenging. This paper explores non-iterative TTO with or without lead time: NI(LT)TTO. In NI(LT)TTO, respondents see a series of independent pairwise choices without iteration (similar to DCETTO), but one of the two scenarios always involves full health for a shorter duration (similar ...
1 CitationsSource
#1Richard Cookson (Ebor: University of York)H-Index: 32
#2Shehzad Ali (Ebor: University of York)H-Index: 19
Last. Miqdad Asaria (LSE: London School of Economics and Political Science)H-Index: 16
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In principle, questionnaire data on public views about hypothetical trade‐offs between improving total health and reducing health inequality can provide useful normative health inequality aversion parameter benchmarks for policymakers faced with real trade‐offs of this kind. However, trade‐off questions can be hard to understand, and one standard type of question finds that a high proportion of respondents—sometimes a majority—appear to give exclusive priority to reducing health inequality. We d...
2 CitationsSource
#1John Brazier (University of Sheffield)H-Index: 77
#2Donna Rowen (University of Sheffield)H-Index: 26
Last. Julie Ratcliffe (UniSA: University of South Australia)H-Index: 42
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In the estimation of population value sets for health state classification systems such as the EuroQOL five dimensions questionnaire (EQ-5D), there is increasing interest in asking respondents to value their own health state, sometimes referred to as “experience-based utility values” or, more correctly, own rather than hypothetical health states. Own health state values differ to hypothetical health state values, and this may be attributable to many reasons. This paper critically examines whose ...
9 CitationsSource