Reviewing and piloting methods for decreasing discount rates; someone, somewhere in time.

Mehraj B. Y. Parouty, Daan G. M. Krooshof, Tjalke A. Westra, Petros Pechlivanoglou, Maarten J. Postma

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)


There has been substantial debate on the need for decreasing discounting for monetary and health gains in economic evaluations. Next to the discussion on differential discounting, a way to identify the need for such discounting strategies is through eliciting the time preferences for monetary and health outcomes. In this article, the authors investigate the perceived time preference for money and health gains through a pilot survey on Dutch university students using methods on functional forms previously suggested. Formal objectives of the study were to review such existing methods and to pilot them on a convenience sample using a questionnaire designed for this specific purpose. Indeed, a negative relation between the time of delay and the variance of the discounting rate for all models was observed. This study was intended as a pilot for a large-scale population-based investigation using the findings from this pilot on wording of the questionnaire, interpretation, scope and analytic framework.
Original languageEnglish
Pages (from-to)523-547
Number of pages25
JournalExpert review of pharmacoeconomics & outcomes research
Issue number4
Publication statusPublished - 1-Aug-2013


  • article
  • cost benefit analysis
  • economics
  • female
  • health care cost
  • health care policy
  • health service
  • health services research
  • human
  • language
  • male
  • management
  • Netherlands
  • patient preference
  • pilot study
  • quality adjusted life year
  • questionnaire
  • statistical model
  • time
  • time perception
  • treatment outcome
  • young adult

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