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Incorporating societal concerns for fairness in numerical valuations of health programmes.

Publication ,  Journal Article
Nord, E; Pinto, JL; Richardson, J; Menzel, P; Ubel, P
Published in: Health economics
February 1999

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'.

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Published In

Health economics

DOI

EISSN

1099-1050

ISSN

1057-9230

Publication Date

February 1999

Volume

8

Issue

1

Start / End Page

25 / 39

Related Subject Headings

  • Social Values
  • Social Justice
  • Severity of Illness Index
  • Quality-Adjusted Life Years
  • Program Evaluation
  • Models, Theoretical
  • Humans
  • Health Services Research
  • Health Policy & Services
  • Health Care Rationing
 

Citation

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Nord, E., Pinto, J. L., Richardson, J., Menzel, P., & Ubel, P. (1999). Incorporating societal concerns for fairness in numerical valuations of health programmes. Health Economics, 8(1), 25–39. https://doi.org/10.1002/(sici)1099-1050(199902)8:1<25::aid-hec398>3.0.co;2-h
Nord, E., J. L. Pinto, J. Richardson, P. Menzel, and P. Ubel. “Incorporating societal concerns for fairness in numerical valuations of health programmes.Health Economics 8, no. 1 (February 1999): 25–39. https://doi.org/10.1002/(sici)1099-1050(199902)8:1<25::aid-hec398>3.0.co;2-h.
Nord E, Pinto JL, Richardson J, Menzel P, Ubel P. Incorporating societal concerns for fairness in numerical valuations of health programmes. Health economics. 1999 Feb;8(1):25–39.
Nord, E., et al. “Incorporating societal concerns for fairness in numerical valuations of health programmes.Health Economics, vol. 8, no. 1, Feb. 1999, pp. 25–39. Epmc, doi:10.1002/(sici)1099-1050(199902)8:1<25::aid-hec398>3.0.co;2-h.
Nord E, Pinto JL, Richardson J, Menzel P, Ubel P. Incorporating societal concerns for fairness in numerical valuations of health programmes. Health economics. 1999 Feb;8(1):25–39.
Journal cover image

Published In

Health economics

DOI

EISSN

1099-1050

ISSN

1057-9230

Publication Date

February 1999

Volume

8

Issue

1

Start / End Page

25 / 39

Related Subject Headings

  • Social Values
  • Social Justice
  • Severity of Illness Index
  • Quality-Adjusted Life Years
  • Program Evaluation
  • Models, Theoretical
  • Humans
  • Health Services Research
  • Health Policy & Services
  • Health Care Rationing