ArticlePharmacoEconomics2019
The Monetary Value of Informal Care: Obtaining Pure Time Valuations Using a Discrete Choice Experiment.
Article in PharmacoEconomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Burden of Informal Caregiving for Adults with Musculoskeletal Conditions: A Systematic Review.PharmacoEconomics · 2025Pooled it
- The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.PharmacoEconomics · 2025Pooled it
- Use of Productivity Loss/Gain in Cost-Effectiveness Analyses for Drugs: A Systematic Review.PharmacoEconomics · 2021Pooled it
- Cost-Utility Analyses of Interventions for Informal Carers: A Systematic and Critical Review.PharmacoEconomics · 2020Pooled it
- Accounting for the Opportunity Cost of Children's Time in Economic Evaluation: Challenges and Frequently Asked Questions.Health economics · 2026Article
- Measuring and valuing spillover effects in caregivers and families: A scoping review.PloS one · 2026Article
- Valuation of informal care for the old-aged with disabilities in China-a discrete choice experiment approach.Health economics review · 2025Article
- On spillovers in economic evaluations: definition, mapping review and research agenda.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Review
- Informal care at old age at home and in nursing homes: determinants and economic value.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Research trends in contemporary health economics: a scientometric analysis on collective content of specialty journals.Health economics review · 2024Review
- The concept of informal care: ambiguities and controversies on its scientific and political uses.Frontiers in sociology · 2023Review
- The Challenges of Measuring Informal Care Time: A Review of the Literature.PharmacoEconomics · 2021Review
- Economic evaluation of nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual.BMJ open · 2021Article
- What's the Cost? Measuring the Economic Impact of Pediatric Sepsis.Frontiers in pediatrics · 2021Article
- Development of a casemix classification to predict costs of home care in the Netherlands: a study protocol.BMJ open · 2020Article
- Advances in Methods and Novel Applications for Measuring Family Spillover Effects of Illness.PharmacoEconomics · 2019Article
- Quantifying Family Spillover Effects in Economic Evaluations: Measurement and Valuation of Informal Care Time.PharmacoEconomics · 2019Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInterventions in health care often not only have an effect on patients, but also on their informal caregivers. Caregiving can have a profound impact on the health and wellbeing of carers. Ignoring these spillovers in economic evaluations risks labelling interventions mistakenly as cost-effective, at the expense of informal caregivers.
objectiveThis paper investigates willingness-to-accept (WTA) values for an hour of informal care, corrected for positive and negative impacts of informal care, to facilitate the inclusion of informal care hours on the cost side of economic evaluations without double-counting spillover effects.
methodsA discrete choice experiment (DCE) was conducted among a representative sample of the adult population in the Netherlands (n = 552) in September 2011. An experimental design minimizing the D-error was used to construct choice sets with two unlabelled alternatives with the attributes 'hours caregiving', 'monetary compensation for caregiving' and seven impacts of caregiving. To operationalize the random utility model, we used a panel mixed multinomial logit (MMNL) parameter model. For calculation of WTA, we used both population-level parameters and individual-level parameters.
resultsThe mean WTA for an additional hour of informal care, corrected for positive and negative impacts of informal care, was €14.57. The signs of the coefficients were all in the expected directions.
conclusionsThis study reports a preference-based monetary value for informal care, corrected for other impacts. This valuation facilitates the inclusion of informal care hours on the cost side in economic evaluations without double-counting any spillover effects included on the effects side.
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Registered trials
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