Loomes G, McKenzie L
Department of Economics and Related Studies, University of York, Heslington, England.
Soc Sci Med. 1989;28(4):299-308. doi: 10.1016/0277-9536(89)90030-0.
This paper seeks to highlight some of the critical issues concerning the use of the Quality Adjusted Life Years (QALYs) to measure the outcome of health care choices, in decisions related to both individual patient care and social resource allocation. Much of the support for the QALY is based on its simplicity as a tool for resolving complex choices. However, it may be the case that the QALY is not sufficiently refined or robust, failing perhaps to take into account some of the critical factors which affect preferences over different health care scenarios.
本文旨在强调一些与使用质量调整生命年（QALYs）来衡量医疗保健选择结果相关的关键问题，这些选择涉及个体患者护理和社会资源分配决策。对QALY的许多支持基于其作为解决复杂选择的工具的简单性。然而，情况可能是QALY不够精细或稳健，可能未能考虑到一些影响对不同医疗保健方案偏好的关键因素。
