Benson Tim
R-Outcomes Ltd, Newbury, UK
Institute of Health Informatics, UCL, London, UK.
BMJ Open Qual. 2025 Mar 18;14(1):e003190. doi: 10.1136/bmjoq-2024-003190.
When allocating resources health decision-makers make trade-offs between different outcomes, such as morbidity and mortality. The Load and QALY (quality-adjusted life year) models are two approaches that have been developed to help value health and care outcomes.
I briefly describe preference judgements, the Load and QALY models.
The same preference judgement, based on the standard gamble, is applied to a single hypothetical individual's lifetime, who dies at age 75 after 3 years of illness. In this example, the morbidity/mortality ratio using the Load model is 50 times higher than using the QALY model.
These findings, placing greater value on illness, call for further exploration, and in particular, whether the Load model can reshape healthcare policies and resource allocation.
在分配资源时，卫生决策者会在不同结果之间进行权衡，如发病率和死亡率。负荷模型和质量调整生命年（QALY）模型是为帮助评估健康和护理结果的价值而开发的两种方法。
我简要描述了偏好判断、负荷模型和QALY模型。
基于标准博弈的相同偏好判断应用于一个假设个体的一生，该个体在患病3年后于75岁死亡。在此示例中，使用负荷模型得出的发病率/死亡率比使用QALY模型高出50倍。
这些更重视疾病的发现需要进一步探索，特别是负荷模型是否能够重塑医疗保健政策和资源分配。
