QALYs and ethics: A health economist's perspective
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2023, Health Policy and TechnologyDoes moral reasoning influence public values for health care priority setting?: A population-based randomized stated preference survey
2020, Health PolicyCitation Excerpt :Closely allied to the use of QALYs as an outcome measure in applied health economic evaluation is the assumption of utilitarian QALY maximization as a normative goal – and thus decision-criterion – when selecting the best alternative among competing interventions [19]. The prominence of QALY maximization as a decision-criterion in applied health economic evaluation, including by HTA institutions internationally, has prompted theoretical and empirical inquiry into the strength of societal preference for QALY maximization [20–23]. Moral philosophers and social choice theorists have challenged the moral legitimacy of purely consequentialist approaches to health care rationing, including QALY maximization, citing the relevance of ethical concepts ranging from distributive justice, priority to the worst off, and rights-based entitlements in health resource allocation [24–29].
Estimation of Quality-Adjusted Life Expectancy of Oral Cancer Patients: Integration of Lifetime Survival With Repeated Quality-of-Life Measurements
2020, Value in Health Regional IssuesCitation Excerpt :It is a challenging task because one must consider both survival and quality of life (QoL) and assume that the 2 dimensions could be interchangeable. Scientists in outcome research and health economics have established a common unit for such a measurement, namely, quality-adjusted life year (QALY),2,3 which is widely applied nowadays, although not totally without ethical controversies.4,5 A conventional approach to obtaining the quality-adjusted survival (QAS) proposed by Glasziou et al is to model the length of survival time of a health condition and multiply it by the average QoL value of the health state.6,7
Quality Adjusted Life Years
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