Murray C J, Lopez A D
Harvard Center for Population and Development Studies, Cambridge, MA 02138, USA.
Bull World Health Organ. 1997;75(4):377-81.
The WHO Advisory Committee on Health Research (ACHR), through its DALY Review Group, has recently criticized the use of disability-adjusted life years (DALYs). To suggest that the use of DALYs should be discouraged as an aid in health resource allocation may, however, be premature, since it enhances informed debate on the social values that influence resource allocation, identifies health problems that may be neglected, and points to the strengths and weaknesses of existing health information systems.
世界卫生组织健康研究咨询委员会（ACHR）通过其伤残调整生命年审查小组，最近对伤残调整生命年（DALYs）的使用提出了批评。然而，建议不应鼓励使用伤残调整生命年作为卫生资源分配的辅助手段可能为时过早，因为它有助于就影响资源分配的社会价值观展开明智的辩论，识别可能被忽视的健康问题，并指出现有卫生信息系统的优缺点。
