Bryan S, Parkin D, Donaldson C
Health Economics Research Group, Brunel University, Uxbridge, UK.
Health Policy. 1991 Jul;18(2):169-85. doi: 10.1016/0168-8510(91)90098-i.
Quality adjusted life years (QALYs) are claimed to be a universal means of measuring output from health care interventions. However, existing QALY research has been carried out mainly in 'high-tech', life extending areas of health care. This paper presents an application of QALY measurement to a 'low-tech' life-quality enhancing area of health care, chiropody. Information on changes in quality of life following chiropody interventions was elicited from both practitioners and patients. We found the apparently low benefit, but low cost service of chiropody to be a potentially cost-effective use of NHS resources. Methodological issues are also addressed relating to the assignment of patients to health states, and whether practitioners' or patients' assessments of changes in quality of life should be used.
质量调整生命年（QALYs）据称是衡量医疗保健干预产出的通用手段。然而，现有的QALY研究主要是在医疗保健的“高科技”、延长生命领域进行的。本文介绍了QALY测量在医疗保健的一个“低科技”、提高生活质量领域——足病治疗中的应用。从从业者和患者那里获取了关于足病治疗干预后生活质量变化的信息。我们发现，足病治疗这种看似效益低但成本也低的服务，可能是对英国国家医疗服务体系（NHS）资源的一种具有成本效益的利用方式。还讨论了与将患者分配到健康状态相关的方法学问题，以及应该使用从业者还是患者对生活质量变化的评估。
