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Are Healthy-years Equivalents an Improvement over Quality-adjusted Life Years?

Medical Decision Making, 1993
The construct of the healthy-years equivalent (HYE) has been proposed as an alternative to the quality-adjusted life year (QALY) on the grounds that it avoids certain restrictive assumptions about preferences and also incorporates attitudes toward risk.
Milton C. Weinstein   +2 more
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Willingness to Pay for a Quality-adjusted Life Year

Medical Decision Making, 2000
Cost-benefit analysis (CBA) provides a clear decision rule: undertake an intervention if the monetary value of its benefits exceed its costs. However, due to a reluctance to characterize health benefits in monetary terms, users of cost-utility and cost-effectiveness analyses must rely on arbitrary standards (e.g., < $50,000 per QALY) to deem a ...
William G. Weissert   +4 more
openaire   +3 more sources

Utilitarianism and the Measurement and Aggregation of Quality – Adjusted Life Years

Health Care Analysis, 2001
It is widely accepted that one of the main objectives of government expenditure on health care is to generate health. Since health is a function of both length of life and quality of life, the quality-adjusted life-year (QALY) has been developed in an attempt to combine the value of these attributes into a single index number.
openaire   +3 more sources

quality-adjusted life-years (QALY)

2009
syn. healthy-year equivalent (HYE); QALYs are calculated by multiplying the time spent in each health state by the value assigned to the particular health state; to calculate QALYs, numerical judgments of the desirability of various outcomes must be determined; these values are called “utilities” (with values between 0-death and 1-perfect health; very ...
openaire   +2 more sources

The Quality Adjusted Life Year: A Total-Utility Perspective

Cambridge Quarterly of Healthcare Ethics, 2018
Abstract:Given that a properly formed utilitarian response to healthcare distribution issues should evaluate cost effectiveness against the total utility increase, it follows that any utilitarian cost-effectiveness metric should be sensitive to increases in both individual and social utility afforded by a given intervention. Quality adjusted life year (
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QUALITY-ADJUSTED LIFE-YEARS

The Lancet, 1987
MichaelF Drummond   +2 more
openaire   +5 more sources

Disability, Epistemic Harms, and the Quality-Adjusted Life Year

International Journal of Feminist Approaches to Bioethics, 2020
Health economists use a conceptual tool called the quality-adjusted life year (QALY) in resource allocation decisions. Despite claims that the values of disabled people are distorted by adaptive preference, I argue that their testimony is in fact more reliable than that of nondisabled third parties.
openaire   +2 more sources

Optimizing Sampling Strategies for Estimating Quality-adjusted Life Years

Medical Decision Making, 1997
Accurate estimation of quality of life is critical to cost-effectiveness analysis. Never theless, development of sampling algorithms to maximize the accuracy and efficiency of estimated quality of life has received little consideration to date. This paper presents a method to optimize sampling strategies for estimating quality-adjusted life years.
Ruth Etzioni   +3 more
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Quality‐adjusted life years: origins, measurements, applications, objections

Australian Journal of Public Health, 1993
Abstract: Quality‐adjusted life years or QALYs are used to combine, in a single measure, information about the quantity and quality of life produced by a health intervention. They have been used as outcome measures in clinical trials and in cost‐effectiveness analyses. This paper describes how QALYs are assessed and how they are used.
Schwartz, Steven   +2 more
openaire   +4 more sources

Methods and issues associated with the use of quality-adjusted life-years

Expert Review of Pharmacoeconomics & Outcomes Research, 2012
In this article, we will focus on how preferences and utilities are measured, including the strengths and limitations of various approaches, discuss their use in estimating quality-adjusted life-years (QALYs) and make some recommendations for further research. Preferences are either measured using direct (visual analog scale, time trade-off or standard
Dennis A. Revicki, William R. Lenderking
openaire   +2 more sources

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