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QALYs and justice

Health Policy, 1989
Health Policy, 10 (1988) 259-266 featured an article by Harris which argued that QALYs (quality-adjusted life years) are unjust, and that their use as a tool for distributing scarce health resources cannot be morally defended. Harris' paper is the latest in a series of articles purporting to criticise the concept and application of QALYs. However, most
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Double discounting of QALYs

Health Economics, 2002
AbstractQuality‐adjusted life‐years (QALYs) calculated from time tradeoff (TTO) based preferences have a time preference component. To impose a conventional discount rate on these implicitly discounted QALYs introduces some degree of double discounting.
Linda D, MacKeigan   +2 more
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QALYs Versus WTP

Risk Analysis, 2002
Quality adjusted life years (QALYs) and willingness to pay (WTP) are alternative measures of the value of reductions in health risk that are often used in evaluating environmental, health, and safety practices. Although both methods are based on individual preferences, the underlying assumptions differ.
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A QALY is a QALY is a QALY—or is it not?

2016
This chapter looks at a theoretical framework for diversions from the assumption that all units of health gain have equal social value, and examins different ways in which welfarists and non-welfarists may call for cost per weighted QALY analyses, for efficiency-based reasons, and equity-motivated reasons.
John Brazier   +3 more
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QALYs

PharmacoEconomics, 2006
The QALY is the product of life expectancy (estimated in years) and its quality over that time (estimated in utilities or QOL units). It theoretically enables direct comparison of the costs of obtaining different health outcomes through cost utility analysis (CUA).
Maurice, McGregor, J Jaime, Caro
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Characterizing QALYs by Risk Neutrality

Journal of Risk and Uncertainty, 1997
zbMATH Open Web Interface contents unavailable due to conflicting licenses.
Wakker, P.P.   +2 more
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Precision QALYs, Precisely Unjust

Cambridge Quarterly of Healthcare Ethics, 2019
Abstract:Warwick Heale has recently defended the notion of individualized and personalized Quality-Adjusted Life Years (QALYs) in connection with health care resource allocation decisions. Ordinarily, QALYs are used to make allocation decisions at the population level.
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Qalys

PharmacoEconomics & Outcomes News, 1999
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Updating cost-effectiveness--the curious resilience of the $50,000-per-QALY threshold.

New England Journal of Medicine, 2014
P. Neumann   +2 more
semanticscholar   +1 more source

What Next for QALYs?

JAMA, 2011
THE QUALITY-ADJUSTED LIFE-YEAR (QALY) HAS COME under fire lately. In the United States, health reform legislation prohibited use of cost-per-QALY thresholds. The United Kingdom has proposed that the National Institute for Health and Clinical Excellence (NICE), which has influenced reimbursement through cost-per-QALY ratios, will not in the future use ...
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