Brazier John, Tsuchiya Aki
School of Health and Related Research (ScHARR), University of Sheffield, 30 Regent Street, Sheffield, S1 4DA, UK.
Appl Health Econ Health Policy. 2015 Dec;13(6):557-65. doi: 10.1007/s40258-015-0194-1.
The quality-adjusted life-year (QALY) has become a widely used measure of health outcomes for use in informing decision making in health technology assessment. However, there is growing recognition of outcomes beyond health within the health sector and in related sectors such as social care and public health. This paper presents the advantages and disadvantages of ten possible approaches covering extending the health-related QALY and using well-being and monetary-based methods, in order to address the problem of using multiple outcome measures to inform resource allocation within and between sectors.
质量调整生命年（QALY）已成为一种广泛使用的健康结果衡量指标，用于为卫生技术评估中的决策提供信息。然而，卫生部门以及社会护理和公共卫生等相关部门越来越认识到健康之外的结果。本文介绍了十种可能方法的优缺点，这些方法涵盖扩展与健康相关的QALY以及使用幸福感和基于货币的方法，以解决使用多种结果指标为部门内部和部门之间的资源分配提供信息的问题。
