16/04/2026
NEW PUBLICATION
Public preferences for saving lives versus life-years: evidence from a person-trade-off experiment in 12 countries during the COVID-19 pandemic
Fiorella Parra-Mujica, Laurence S. J. Roope, Mara Violato, Raymond M. Duch & Philip M. Clarke
The European Journal of Health Economics 2026
This multi-country study explores a fundamental question in healthcare: should we prioritise saving more lives, or more years of life? Using survey data from over 14,000 people across 12 countries, we find that public preferences do not fully align with the standard approach of maximising life-years, or quality-adjusted life years (QALYs). Instead, people take a more nuanced view, valuing both lives and life-years, and considering factors such as age and social context. The findings suggest a degree of mismatch between healthcare prioritisation policies and societal preferences that warrants further consideration.
Health technology assessment (HTA) often prioritises outcomes measured in life-years or Quality-Adjusted Life Years (QALYs), implying a focus on maximising