[QALYs and fairness: health economic approaches to the fairness issue and their problems]. / QALYs und Gerechtigkeit: Ansätze und Probleme einer gesundheitsökonomischen Lösung der Fairnessproblematik.
Gesundheitswesen
; 73(10): 688-95, 2011 Oct.
Article
em De
| MEDLINE
| ID: mdl-21259190
ABSTRACT
Empirical studies have shown that QALY-maximization leads to results that are perceived as unfair. Health economists have attempted to integrate fairness aspects in Cost-Utility Analysis by means of equity weighting. A well-known example is Cost-Value Analysis (Nord et al.). Over and above the value of individual health related utilities, it tries to capture the value of distributing resources fairly. The debate has shown, however, that these approaches face several problems. The present contribution argues that the difficulties are of a more fundamental nature than most contributors to the debate have hitherto assumed. Cost-utility analysis, we believe, cannot consistently be adjusted to meet fairness objections by means of weighting schemes.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Alocação de Recursos para a Atenção à Saúde
/
Anos de Vida Ajustados por Qualidade de Vida
/
Programas Nacionais de Saúde
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
De
Revista:
Gesundheitswesen
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Alemanha