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Titolo:
Incorporating societal concerns for fairness in numerical valuations of health programmes
Autore:
Nord, E; Pinto, JL; Richardson, J; Menzel, P; Ubel, P;
Indirizzi:
Natl Inst Publ Hlth, N-0403 Oslo, Norway Natl Inst Publ Hlth Oslo NorwayN-0403 st Publ Hlth, N-0403 Oslo, Norway Univ Pompeu Fabra, Dept Econ, Barcelona, Spain Univ Pompeu Fabra Barcelona Spain eu Fabra, Dept Econ, Barcelona, Spain Ctr Hlth Program Evaluat, Melbourne, Vic, Australia Ctr Hlth Program Evaluat Melbourne Vic Australia lbourne, Vic, Australia Pacific Lutheran Univ, Dept Philosophy, Tacoma, WA 98447 USA Pacific Lutheran Univ Tacoma WA USA 98447 hilosophy, Tacoma, WA 98447 USA Univ Penn, Ctr Bioeth, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 tr Bioeth, Philadelphia, PA 19104 USA
Titolo Testata:
HEALTH ECONOMICS
fascicolo: 1, volume: 8, anno: 1999,
pagine: 25 - 39
SICI:
1057-9230(199902)8:1<25:ISCFFI>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
COST-EFFECTIVENESS ANALYSIS; ADJUSTED LIFE YEARS; TRADE-OFF; QUALITY; OREGON; STATES; CARE; QALYS; SCALE; PERSPECTIVE;
Keywords:
QALY; cost-utility analysis; health programme evaluation; fairness; severity of illness; potential for health; person trade-off; cost-value analysis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Nord, E Natl Inst Publ Hlth, POB 4404 Torshov, N-0403 Oslo, Norway Natl Inst Publ Hlth POB 4404 Torshov Oslo Norway N-0403 o, Norway
Citazione:
E. Nord et al., "Incorporating societal concerns for fairness in numerical valuations of health programmes", HEALTH ECON, 8(1), 1999, pp. 25-39

Abstract

The paper addresses some limitations of the QALY approach and outlines a valuation procedure that may overcome these limitations. In particular, we focus on the following issues: the distinction between assessing individual utility and assessing societal value of health care; the need to incorporate concerns for severity of illness as an independent factor in a numerical model of societal valuations of health outcomes; similarly, the need to incorporate reluctance to discriminate against patients that happen to have lesser potentials for health than others; and finally, the need to combine measurements of health-related quality of life obtained from actual patients (or former patients) with measurements of distributive preferences in the general population when estimating societal value. We show how equity weights may serve to incorporate concerns for severity and potentials for health in QALY calculations. We also suggest that for chronically ill or disabled people a life year gained should count as one and no less than one as long as the year is considered preferable to being dead by the person concerned. We call our approach 'cost-value analysis'. Copyright (C) 1999 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 18:41:14