The lack of theoretical support for using person trade-offs in QALY-type models
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The lack of theoretical support for using person trade-offs in QALY-type models. / Østerdal, Lars Peter Raahave.
I: European Journal of Health Economics (Print Edition), Bind 10, Nr. 4, 2009, s. 429-436.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The lack of theoretical support for using person trade-offs in QALY-type models
AU - Østerdal, Lars Peter Raahave
N1 - JEL Classification: H4, I1, D6
PY - 2009
Y1 - 2009
N2 - Considerable support for the use of person trade-off methods to assess the quality-adjustment factor in quality-adjusted life years (QALY) models has been expressed in the literature. The WHO has occasionally used similar methods to assess the disability weights for calculation of disability-adjusted life years (DALYs). This paper discusses the theoretical support for the use of person trade-offs in QALY-type measurement of (changes in) population health. It argues that measures of this type based on such quality-adjustment factors almost always violate the Pareto principle, and so lack normative justification.
AB - Considerable support for the use of person trade-off methods to assess the quality-adjustment factor in quality-adjusted life years (QALY) models has been expressed in the literature. The WHO has occasionally used similar methods to assess the disability weights for calculation of disability-adjusted life years (DALYs). This paper discusses the theoretical support for the use of person trade-offs in QALY-type measurement of (changes in) population health. It argues that measures of this type based on such quality-adjustment factors almost always violate the Pareto principle, and so lack normative justification.
KW - Faculty of Social Sciences
KW - QALY
KW - DALY
KW - Pareto principle
KW - Social welfare
U2 - 10.1007/s10198-009-0150-9
DO - 10.1007/s10198-009-0150-9
M3 - Journal article
C2 - 19340469
VL - 10
SP - 429
EP - 436
JO - European Journal of Health Economics
JF - European Journal of Health Economics
SN - 1618-7598
IS - 4
ER -
ID: 16129092