School of International Development, University of East Anglia, Norwich NR47TJ, UK.
SUNY Binghamton University, Binghamton, NY, USA.
J Public Health (Oxf). 2017 Sep 1;39(3):633-639. doi: 10.1093/pubmed/fdw072.
measures of population health, like the Disability Adjusted Life Year (DALY), are important for health policy and planning. Some worry, however, that these measures discriminate against the disabled.
This paper provides an analysis of the disability discrimination problem. Then, adapting a fixed-plus-variable framework proposed in welfare economics to the case of health measurement, it proposes a novel measure called the Ethically Adjusted Life Year (EALY).
The EALY, in at least some formulations, can avoid discriminating against the disabled. It is different from, and has some advantages over, alternative ways of avoiding discrimination.
There is reason to consider using the EALY in measuring health burden and the impact of health interventions.
人口健康衡量指标，如残疾调整生命年（DALY），对于卫生政策和规划非常重要。然而，有人担心这些衡量指标会歧视残疾人。
本文对残疾歧视问题进行了分析。然后，借鉴福利经济学中提出的固定加变量框架应用于健康衡量的情况，提出了一种新的衡量指标，称为伦理调整生命年（EALY）。
至少在某些形式下，EALY 可以避免歧视残疾人。它与避免歧视的替代方法不同，并且具有一些优势。
有理由考虑在衡量健康负担和健康干预措施的影响时使用 EALY。
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