Tunder R, Martschinke B
Health Care Management Institute, EBS Universität für Wirtschaft und Recht, Rheingaustraße 1, 65375, Oestrich-Winkel, Deutschland,
Urologe A. 2014 Jan;53(1):7-14. doi: 10.1007/s00120-013-3358-3.
The concept of quality-adjusted life expectancy ("quality-adjusted life years", QALY) is a type of cost-benefit analysis for health economic evaluation of treatment options. The two parameters quality of life and life expectancy are thereby combined into a single value - the QALY - which can shed light on the cost of therapy per additional quality-adjusted year of life. The concept is, however, widely used in ethical discussions of the adequacy of the generalizations on which this approach is based. Using the simulation of an American research team on treatment forms for prostate cancer, the QALY concept is explained, followed by the presentation of ethical criticisms.
质量调整生命预期（“质量调整生命年”，QALY）的概念是一种用于治疗方案健康经济评估的成本效益分析类型。生活质量和预期寿命这两个参数由此被合并为一个单一值——QALY，它可以揭示每增加一个质量调整生命年的治疗成本。然而，这一概念在关于该方法所基于的概括是否充分的伦理讨论中被广泛使用。通过美国一个研究团队对前列腺癌治疗形式的模拟，对QALY概念进行了解释，随后介绍了伦理批评。
