Shepley Orr

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Field evidence suggests that agents belonging to the same group tend to behave similarly, i.e., behavior exhibits social interaction effects. Testing for such effects raises severe identification problems. We conduct an experiment that avoids these problems. The main design feature is that each subject simultaneously is a member of two randomly assigned and(More)
Health-related Quality of Life measures have recently been attacked from two directions, both of which criticize the preference-based method of evaluating health states they typically incorporate. One attack, based on work by Daniel Kahneman and others, argues that 'experience' is a better basis for evaluation. The other, inspired by Amartya Sen, argues(More)
Franklin must be especially thanked for his extensive and helpful comments. A presentation of some of this material at the Harvard University Program in Ethics and Health also resulted in many useful comments, in particular from Dan Brock and Nir Eyal.
and the Health Economics and Outcomes Research teams at Novartis UK for their comments at presentations of earlier versions of this paper. We are especially grateful to participants at a one‐day workshop held at UCL on this report for their effort and numerous insightful comments:
As policy-makers and private individuals, we sometimes face choices of the following kind: either choose an alternative which has somewhat lower expected value for each person, but which will substantially improve the outcomes of the worst off, or choose an alternative which has somewhat higher expected value for each person, but which will leave those who(More)
BACKGROUND/AIMS The National Institute for Health and Care Excellence (NICE) has recommended the use of ranibizumab for neovascular age-related macular degeneration (AMD) and for diabetic macular oedema (DMO) as part of its health technology appraisal process. In the economic evaluations of both interventions, utility values were derived from members of the(More)
Cost-effectiveness analysis suggests that a society should allocate its health care budget in order to achieve the greatest total health for its budget. However, in 'rescue' cases, where an individual's life is in immediate peril, reasoning in terms of cost-effectiveness can appear inhumane. Hence considerations of cost-effectiveness and of rescue appear to(More)
BACKGROUND Although many studies have identified public preferences for prioritising health care interventions based on characteristics of recipient or care, very few of them have examined the reasons for the stated preferences. We conducted an on-line person trade-off (PTO) study (N=1030) to investigate whether the public attach a premium to the avoidance(More)
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