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The QALY is an impossible construct; it defies common sense. It fails completely once we consider the axioms of fundamental measurement. Utilities as ordinal scales cannot be used to create QALYS. The QALY should never have been introduced to support the
Paul Langley
doaj +1 more source
The social value of a QALY : raising the bar or barring the raise? [PDF]
Background: Since the inception of the National Institute for Health and Clinical Excellence (NICE) in England, there have been questions about the empirical basis for the cost-per-QALY threshold used by NICE and whether QALYs gained by different ...
Wildman John +59 more
core +2 more sources
Searchers vs surveyors in estimating the monetary value of a QALY: resolving a nasty dilemma for NICE. [PDF]
Recently, for many health economics researchers, empirical estimation of the monetary valuation of a quality-adjusted life year (QALY) has become an important endeavour. Different philosophical and practical approaches to this have emerged.
Lancsar, Emily +19 more
core +1 more source
A new generation of aromatase inhibitors and target therapy directed at cycline-dependent kinases 4 and 6 gives a new opportunity to treat metastatic breast cancer. However, the cost of innovative therapy remains high.
S. L. Pavlinsky, P. I. Shabalkin
doaj +1 more source
Aim: To create the Russian-language version of the standardized international questionnaire Health Utilities Index (HUI) applicable for children's age, on the basis of the relevant international requirements to linguistic ratification and validation of ...
I. V. Vinyarskaya +4 more
doaj +1 more source
Health economic evaluation of gene replacement therapies: methodological issues and recommendations
Objective: To provide recommendations for addressing previously identified key challenges in health economic evaluations of Gene Replacement Therapies (GRTs), including: 1) the assessment of clinical effectiveness; 2) the valuation of health outcomes; 3)
Samuel Aballéa +15 more
doaj +1 more source
Health-related quality of life (HRQL) is a value correlating with life duration, which depends on person’s disturbances, current functional condition, self-perception and social abilities, which are influenced by diseases, traumas, treatment and private ...
A. A. Baranov +7 more
doaj +1 more source
The aim of this article is to review the concept of the qualityadjusted life-year (QALY), a widely used measure of health improvement that is used to guide health-care resource allocation decisions. The QALY was originally developed as a measure of health effectiveness for cost-effectiveness analysis, a method intended to aid decision-makers charged ...
Weinstein, Milton C. +2 more
openaire +2 more sources
Measurement, modeling and QALYs [PDF]
Over the past 30 years, a mainstay of health technology assessment has been the creation of modeled incremental cost-per-quality adjusted life year (QALY) claims. These are intended to inform resource allocation decisions. Unfortunately, the reliance on the construction of QALYs from generic utility scales is misplaced.
Paul C. Langley, Stephen P. McKenna
openaire +2 more sources
Modelling Spillover Effects on Informal Carers: The Carer QALY Trap [PDF]
The provision of informal (unpaid) care can impose significant 'spillover effects' on carers, and accounting for these effects is consistent with the efficiency and equity objectives of health technology assessment (HTA).
Schirrmacher, H. +23 more
core +1 more source

