I don’t really see ESM as being in opposition to QALYs. It seems like it’s a method that you would use as an input in QALY weight determinations. Wikipedia lists some of the current methods for deriving QALY weights as:
Time-trade-off (TTO): Respondents are asked to choose between remaining in a state of ill health for a period of time, or being restored to perfect health but having a shorter life expectancy.
Standard gamble (SG): Respondents are asked to choose between remaining in a state of ill health for a period of time, or choosing a medical intervention which has a chance of either restoring them to perfect health, or killing them.
Visual analogue scale (VAS): Respondents are asked to rate a state of ill health on a scale from 0 to 100, with 0 representing being dead and 100 representing perfect health. This method has the advantage of being the easiest to ask, but is the most subjective.
There’s also the “day reconstruction method” (DRM). The Oxford Handbook of Happiness talks about ESM, DRM and others relevant measurement approaches at various points.
I’d guess the trouble with using ESM, DRM and some other methods like them for QALY weights is it’s hard to isolate the causal effect of particular conditions using these methods.
I don’t really see ESM as being in opposition to QALYs. It seems like it’s a method that you would use as an input in QALY weight determinations.
It can be, yes, but QALYs trade off length and quality of life, whereas ESM would only tell you about QoL/wellbeing. There would still need to be some other process (or some major assumptions) to anchor the results on the QALY (or DALY) scale.
I don’t really see ESM as being in opposition to QALYs. It seems like it’s a method that you would use as an input in QALY weight determinations. Wikipedia lists some of the current methods for deriving QALY weights as:
There’s also the “day reconstruction method” (DRM). The Oxford Handbook of Happiness talks about ESM, DRM and others relevant measurement approaches at various points.
I’d guess the trouble with using ESM, DRM and some other methods like them for QALY weights is it’s hard to isolate the causal effect of particular conditions using these methods.
It can be, yes, but QALYs trade off length and quality of life, whereas ESM would only tell you about QoL/wellbeing. There would still need to be some other process (or some major assumptions) to anchor the results on the QALY (or DALY) scale.