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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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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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A QALY is a QALY is a QALY—or is it not?
2016This 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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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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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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[QALYS or not QALYS: that is the question?].
Revue d'epidemiologie et de sante publique, 1996The article discusses the proposal of some health economists to use the "cost per QALY (quality-adjusted-life year)" ratio as an universal indicator for economic assessment of medical interventions, in the so-called "cost-utility" analyses. Authors argue that QALYs are not a straightforward application of expected utility theory, which is the standard ...
J P, Moatti +3 more
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Health Economics, 2003
Abstract A willingness to pay (WTP) per quality‐adjusted‐life year (QALY) of DKK 88 was estimated on the basis of elicited preferences for health states. The WTP per QALY estimate presented here differs considerably from that implied in contingent valuation studies, suggesting that WTP for reducing risk of death ...
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Abstract A willingness to pay (WTP) per quality‐adjusted‐life year (QALY) of DKK 88 was estimated on the basis of elicited preferences for health states. The WTP per QALY estimate presented here differs considerably from that implied in contingent valuation studies, suggesting that WTP for reducing risk of death ...
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Is a QALY still a QALY at the end of life?
Journal of Health Economics, 2012Recent research into end of life and palliative care has focused on the development of a replacement for the quality adjusted life year (QALY) as an outcome measure. Reasons given range from the lack of anticipated survival benefit from treatment to the inappropriateness of death as an anchor for valuing health states, or the increased value of time to
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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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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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Assumptions of the QALY procedure
Social Science & Medicine, 1989The Quality Adjusted Life Year (QALY) has been proposed as a useful index for those managing the provision of health care because it enables the decision-maker to compare the 'value' of different health care programmes and in a way which, potentially at least, reflects social preferences about the appropriate pattern of provision.
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Multiattribute Structure for QALYs
Decision Analysis, 2004Health status is inherently a multiattribute construct. We examine multiattribute utility decompositions for the quality-adjusted life year (QALY) utility model commonly employed in medical decision and cost-effectiveness analyses. We consider several independence conditions on preference, including the classical notions of preferential independence ...
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QALYs and the capability approach
Health Economics, 2005Abstract This explores the applicability of Sen's capability approach to the economic evaluation of health care programmes. An individual's ‘capability set’ describes his freedom to choose valuable activities and states of being (‘functionings’). Direct estimation and valuation of capability sets is not feasible at present.
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