RT Journal Article
SR Electronic
T1 Lifetime QALY prioritarianism in priority setting
JF Journal of Medical Ethics
JO J Med Ethics
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP 175
OP 180
DO 10.1136/medethics-2012-100740
VO 39
IS 3
A1 Trygve Ottersen
YR 2013
UL http://jme.bmj.com/content/39/3/175.abstract
AB Two principles form the basis for much priority setting in health. According to the greater benefit principle, resources should be directed toward the intervention with the greater health benefit. According to the worse off principle, resources should be directed toward the intervention benefiting those initially worse off. Jointly, these principles accord with so-called prioritarianism. Crucial for its operationalisation is the specification of the worse off. In this paper, we examine how the worse off can be defined as those with the fewer lifetime Quality-Adjusted Life Years (QALYs). We contrast this proposal with several alternative specifications.