Donaldson C, Atkinson A, Bond J, Wright K
Health Care Research Unit, University of Newcastle upon Tyne.
Age Ageing. 1988 Nov;17(6):379-87. doi: 10.1093/ageing/17.6.379.
QALYs have developed in the UK as a tool for comparing the outcome of health care procedures in a single index over time. This tool can then be used, along with information on costs of procedures, in decision-making about health service resource allocation. It is shown that the attributes of disability and distress, on which QALYs are presently based in the UK, are insensitive to changes in the health status of elderly people in long-term care when compared to other measures of quality of life which are frequently used in studies of older people. Thus, if the use of QALYs increases, they should be based on attributes appropriate to the groups studied, otherwise certain groups may be discriminated against in health service resource allocation owing to the use of an insensitive measure of outcome.
质量调整生命年（QALYs）在英国已发展成为一种用于随时间在单一指标中比较医疗程序结果的工具。然后，该工具可与程序成本信息一起用于卫生服务资源分配的决策。研究表明，与老年人研究中常用的其他生活质量衡量指标相比，英国目前所基于的残疾和痛苦属性对长期护理中老年人健康状况的变化不敏感。因此，如果质量调整生命年的使用增加，它们应基于适合所研究群体的属性，否则由于使用了不敏感的结果衡量指标，某些群体在卫生服务资源分配中可能会受到歧视。
