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Cost-Value Analysis in Health Care: Making Sense out of QALYS

Autor Erik Nord
en Limba Engleză Paperback – 27 sep 1999
This book is a comprehensive account of what it means to try to quantify health in distributing resources for health care. It examines the concept of QALYs (Quality Adjusted Life Year) which supposedly makes it more accurate to talk about life in terms of both quality and quantity of years lived when referring to health care policy. It offers an elegant new approach to comparing the costs and benefits of medical interventions. Cost-Utility Analysis (CUA) is a method designed by economists to aid decision makers distribute scarce resources to areas of health care where they will yield the greatest benefits. Erik Nord questions the feasibility of measuring patients' quality of life meaningfully in numerical terms, as CUA presupposes. He presents an alternative approach called cost-value analysis in which representative samples of the general public express preferences between different health-care programs. In this approach, subjects are allowed to include concerns for fairness that go beyond concerns for efficiency of conventional health economics.
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Specificații

ISBN-13: 9780521644341
ISBN-10: 0521644348
Pagini: 182
Ilustrații: 5 b/w illus. 17 tables
Dimensiuni: 152 x 229 x 11 mm
Greutate: 0.25 kg
Editura: Cambridge University Press
Colecția Cambridge University Press
Locul publicării:New York, United States

Cuprins

Preface; Reader's guide; Summary; 1. Maximizing value in health care; 2. Three basic issues in economic evaluation; 3. The QALY approach; 4. Concerns for fairness; 5. The limitations of utility measurement; 6. Ways to go; Annex.

Recenzii

'Nord is at the forefront of thinking about the best way to allocate health care efficiently and equitably, and he has extensive knowledge of the empirical research being done in this area. Anyone interested in the ethical problems of heath care allocation - especially anyone interested in the fundamental question of what health care allocation should be trying to achieve - will benefit from reading this book.' John McKie, Bioethics

Descriere

A comprehensive account of what it means to quantify health in distributing resources for health care.