Developing methods that really do value the 'Q' in the QALY
Developing methods that really do value the 'Q' in the QALY
复制标题
DOI：
10.1017/s1744133107004355
复制
发表时间：
2008-01-01
影响因子：
1.7
通讯作者：
Dolan, Paul
中科院分区：
文献类型：
--
作者：
Dolan, Paul
大多数健康经济学家建议，通过让公众想象自己处于不同的健康状态，然后思考为了完全健康，他们愿意放弃多少年的生命或愿意接受什么样的死亡风险，来评估健康的改善。在本文中，我认为，偏好是不是一个很好的指导未来的经验和更合适的方式来评估健康是问人们在不同的健康状态，他们如何思考和感受他们的生活。以这种方式重视健康可能会导致更优先考虑心理健康服务。无论确切的含义是什么，我的论点是，根据真实的经验而不是根据假设的偏好来配给医疗保健要好得多。
Most health economists recommend that improvements in health be valued by asking members of the general public to imagine themselves in different states of health and then to think about how many years of life they would give up or what risk of death they would be willing to accept in order to be in full health. In this paper, I argue that preferences are not a very good guide to future experiences and a more suitable way to value health is to ask people in different states of health how they think and feel about their lives. Valuing health in this way may result in greater priority being given to mental health services. Whatever the precise implications, it is my contention that it is much better to ration health care according to real experiences rather than according to hypothetical preferences.