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Arthritis Care &Research, EarlyView.Objective Rheumatic and musculoskeletal diseases (RMDs) are leading causes of physical disability, necessitating support with activities of daily living. This study describes social care received by patients with RMDs in two disparate regions of England: Salford (urban) and Norfolk (rural).
Mehreen Somro +6 more
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Not all “quality-adjusted life years” are equal
Journal of Clinical Epidemiology, 2007There is evidence that utility elicitation methods used in the calculation of quality-adjusted life years (QALYs) yield different results. It is not clear how these differences impact economic evaluations.Using a mathematical model incorporating data on efficacy, costs, and utility values, we simulated the experiences of 100,000 hypothetical rheumatoid
C A, Marra +8 more
openaire +4 more sources
Abstract The concept of quality-adjusted life years (QALY) is explained, with the approaches to measuring and problems with QALYs highlighted.
Phil Ambery +2 more
exaly +5 more sources
Phil Ambery +2 more
exaly +5 more sources
Practical Neurology, 2008
Many health systems now use cost-effectiveness analysis to decide which interventions and programmes to fund. A key issue for such decision making is how to measure health outcomes from interventions to reflect changes in both health-related quality of life and life expectancy.
Yolanda, Bravo Vergel, Mark, Sculpher
openaire +3 more sources
Many health systems now use cost-effectiveness analysis to decide which interventions and programmes to fund. A key issue for such decision making is how to measure health outcomes from interventions to reflect changes in both health-related quality of life and life expectancy.
Yolanda, Bravo Vergel, Mark, Sculpher
openaire +3 more sources
Utilities and Quality-Adjusted Life Years
International Journal of Technology Assessment in Health Care, 1989Utilities and quality-adjusted life years (QALYs) are reviewed, with particular focus on their use in technology assessment. This article provides a broad overview and perspective on these two techniques and their interrelationship, with reference to other sources for details of implementation.
G W, Torrance, D, Feeny
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Methods for quality adjustment of life years
Social Science & Medicine, 1992Several valuation techniques are in use for quality adjusting life years in cost utility analysis. The paper gives an overview of the variability in results. A close inspection of a number of instruments with respect to their theme, instructions, decision framing and the phrasing of questions make many of the observed differences in results ...
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The importance of Perspective in the Measurement of Quality-adjusted Life Years
Medical Decision Making, 1997Scaling instruments for the measurement of quality-adjusted life years (QALYs) incor porate either a personal or an impersonal perspective on the benefits of a health intervention and either do or do not incorporate considerations of equity. This paper sets out three hypotheses concerning perspective and equity: 1) that more equally distributed ...
J, Richardson, E, Nord
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Willingness to Pay for a Quality-adjusted Life Year
Medical Decision Making, 2000Cost-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 ...
R A, Hirth +4 more
openaire +2 more sources