Bleichrodt H
Department of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
J Health Econ. 1997 Feb;16(1):65-91. doi: 10.1016/s0167-6296(96)00508-5.
The aim of this paper is to propose methods that incorporate equity concerns into cost utility analysis. The focus of the paper is on QALYs, but the results apply to health utility indices in general. Two interpretations of QALYs are considered: QALYs as (von Neumann Morgenstern) utilities and QALYs as measures of health. A justification is provided for aggregating consistently scaled "QALYs as utilities" over individuals. The conditions underlying unweighted aggregation of QALYs are identified. These conditions exclude two common types of equity concern. Algorithms are proposed that take into account equity concerns and that are relatively easy to apply.
本文旨在提出将公平性考量纳入成本效用分析的方法。本文重点关注质量调整生命年（QALYs），但研究结果一般适用于健康效用指数。文中考虑了对QALYs的两种解释：作为（冯·诺依曼 - 摩根斯坦）效用的QALYs和作为健康度量的QALYs。文中为在个体间一致地汇总经过尺度调整的“作为效用的QALYs”提供了理由。确定了QALYs未加权汇总所依据的条件。这些条件排除了两种常见的公平性考量类型。文中提出了考虑公平性考量且相对易于应用的算法。
