The lack of theoretical support for using person trade-offs in QALY-type models
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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.
Original language | English |
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Journal | European Journal of Health Economics (Print Edition) |
Volume | 10 |
Issue number | 4 |
Pages (from-to) | 429-436 |
Number of pages | 8 |
ISSN | 1618-7598 |
DOIs | |
Publication status | Published - 2009 |
- Faculty of Social Sciences - QALY, DALY, Pareto principle, Social welfare
Research areas
ID: 16129092