Signature
W = log(h_1) + log(h_2) + log(h_3)
| Inputs | Definition | Unit |
|---|---|---|
h_1 | Health of the first group, for example its QALE, above zero | years of QALE |
h_2 | Health of the second group, above zero | years of QALE |
h_3 | Health of the third group, above zero | years of QALE |
W | Social welfare of the allocation under the logarithmic form, higher being better | welfare score, the sum of natural logarithms of health |
|---|
Function
Health social welfare function ranking distributions of health
Maps the health of n people, or of n groups of equal size, and the parameters theta that state a distributional value judgement to a single social welfare value W, so that allocations can be ranked when they differ in who gains as well as in how much is gained. When W rises whenever one person's health rises and nobody's falls, every Pareto improvement raises welfare. The package gives Atkinson's isoelastic additive form for epsilon other than 1, its logarithmic form at epsilon of 1, the maximin limit, the two-group CES form of Wagstaff and the slope of its social indifference curve. The equally distributed equivalent (EDE) health that gives the same W is live as HE-FM-ATK-002 and HE-FM-ATK-003, the Atkinson index as HE-FM-ATK-001, the relative weight on a small gain as HE-FM-ATK-004 and equity-weighted QALY totals as HE-FM-EQWA-001, and HE-FM-WE-004 holds the linear two-group welfare with a switching weight; none is redrafted here. The health forgone for equity and the inequality aversion at which two options swap rank are left to the Equity-Efficiency Trade-off and Distributional Cost-Effectiveness packages. Notation follows the Social Welfare Function article.
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Implementations
Excel
Logarithmic social welfare with the Excel natural logarithm
With the three health values in the named cells used for HE-FM-SWF-001, the formula returns W in a cell named LogWelfare. Excel's LN is the natural logarithm, while LOG with one argument is base 10.
=LN(HealthFirstGroup)+LN(HealthSecondGroup)+LN(HealthThirdGroup)
Assumptions
Health above zero for logarithmic social welfare
Every h_i is above zero, because the logarithm of zero is undefined and W falls without limit as any group's health approaches zero. The groups are of equal size, as in HE-FM-SWF-001.
Worked examples
Logarithmic welfare of the population-wide option
At epsilon of 1 option P in the article's illustrative example, with QALE of 60.3, 68.5 and 76.7 years, has W of about 12.6660676.
h_1 = 60.3; h_2 = 68.5; h_3 = 76.7; W = 12.6660676
Logarithmic welfare of the targeted option
Option T, with 61.0, 68.3 and 76.0 years, has W of about 12.665517, slightly below P, so P still ranks first at epsilon of 1, as the article's switching point of about 1.23 implies.
h_1 = 61; h_2 = 68.3; h_3 = 76; W = 12.665517
Logarithmic welfare of the option for the worst off
Option R, with 61.2, 67.6 and 75.6 years, has W of about 12.6532115, the lowest of the three at epsilon of 1.
h_1 = 61.2; h_2 = 67.6; h_3 = 75.6; W = 12.6532115
Common errors
Excel LOG in place of LN for logarithmic welfare
LOG with one argument is base 10, so W for option P becomes about 5.5008 instead of 12.6661. The ranking is unchanged, but the EDE health exp(W/3) becomes about 6.26 years instead of 68.17.
General isoelastic formula applied at epsilon close to 1
At epsilon of exactly 1 the formula of HE-FM-SWF-001 divides by zero. Entering 0.999 instead gives about 3,012.6929 for option P, which ranks correctly but differs from the logarithmic 12.6661 by the constant 3/(1-epsilon), here 3,000, plus a small remainder, so the two values cannot be set side by side.
Sources
Atkinson's logarithmic welfare function for health social welfare at epsilon of 1
Atkinson AB. On the measurement of inequality. Journal of Economic Theory. 1970;2(3):244-263. Page 251, equation (5), which gives U(y) = log_e(y) at epsilon of 1 under constant relative inequality aversion, the case in which the general form y^(1-epsilon)/(1-epsilon) is undefined.
Canonical Identity
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