Murray C J, Acharya A K
Harvard Center for Population and Development Studies, Cambridge, MA 02138, USA.
J Health Econ. 1997 Dec;16(6):703-30. doi: 10.1016/s0167-6296(97)00004-0.
The measurement unit disability-adjusted life years (DALYs), used in recent years to quantify the burden of diseases, injuries and risk factors on human populations, is grounded on cogent economic and ethical principles and can guide policies toward delivering more cost-effective and equitable health care. DALYs follow from a fairness principle that treats 'like as like' within an information set comprising the health conditions of individuals, differentiated solely by age and sex. The particular health state weights used to account for non-fatal health outcomes are derived through the application of various forms of the person trade-off.
近年来用于量化疾病、伤害及风险因素对人群健康负担的测量单位——伤残调整生命年（DALYs），基于令人信服的经济和伦理原则，可指导制定更具成本效益和公平性的医疗保健政策。伤残调整生命年源自一项公平原则，即在仅按年龄和性别区分的个人健康状况信息集中“一视同仁”。用于衡量非致命健康结果的特定健康状态权重是通过应用各种形式的个人权衡法得出的。
