Harris J
Centre for Social Ethics and Policy, University of Manchester.
J Med Ethics. 1987 Sep;13(3):117-23. doi: 10.1136/jme.13.3.117.
This paper argues that the Quality Adjusted Life Year or QALY is fatally flawed as a way of priority setting in health care and of dealing with the problem of scarce resources. In addition to showing why this is so the paper sets out a view of the moral constraints that govern the allocation of health resources and suggests reasons for a new attitude to the health budget.
本文认为,质量调整生命年(QALY)作为医疗保健领域确定优先事项及处理资源稀缺问题的一种方式存在致命缺陷。除了说明为何如此之外,本文还阐述了支配卫生资源分配的道德约束观点,并提出了对卫生预算采取新态度的理由。