Abstract
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 |
|---|---|
| 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 |
Keywords
- Faculty of Social Sciences
- QALY
- DALY
- Pareto principle
- Social welfare